| Ms Jackie M Grissom, LCMHC | |
|
6001 Gateway Center Dr., Suite 105, Kannapolis, NC 28081 | |
| (704) 905-5201 | |
| (704) 612-7043 |
| Full Name | Ms Jackie M Grissom |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 6001 Gateway Center Dr., Kannapolis, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215917117 | NPI | - | NPPES |
| 6102673 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2798 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jackie M Grissom, LCMHC 905 Calle Calmado, Las Cruces, NM 88007 Ph: (704) 905-5201 | Ms Jackie M Grissom, LCMHC 6001 Gateway Center Dr., Suite 105, Kannapolis, NC 28081 Ph: (704) 905-5201 |
Becky Yarbrough Norman, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 984 Cloverleaf Plz, Kannapolis, NC 28083 Phone: 704-721-5553 | |
Larry Keever, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-933-3212 Fax: 704-933-3221 | |
Maryalice O Garrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1305 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-939-1100 | |
Ty Kays, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 West Ave, Kannapolis, NC 28081 Phone: 757-943-0694 Fax: 866-828-5520 | |
Jennifer Lindley, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 S Main St, Kannapolis, NC 28081 Phone: 704-630-6634 | |
Kathleen E O'neil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1305 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-939-1100 | |
Donzella Bigelow Crawford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 S Cannon Blvd, Kannapolis, NC 28083 Phone: 704-933-3212 |