| Kourtney Griddine, | |
|
583 W Gaines St, Monticello, AR 71655-4637 | |
| (870) 367-2143 | |
| (870) 367-2145 |
| Full Name | Kourtney Griddine |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 583 W Gaines St, Monticello, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265874697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kourtney Griddine, 602 N Walton Blvd, Bentonville, AR 72712-4576 Ph: (479) 464-1060 | Kourtney Griddine, 583 W Gaines St, Monticello, AR 71655-4637 Ph: (870) 367-2143 |
Mr. David B Jordan, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Joshua Jackson Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Susan Rena Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Lakeisha Hawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Julian Lattimore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Mrs. Mary Elizabeth Newton, AT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Jasmine N Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 |