SearchNorth Carolina101YP2500X

Jackie Grissom, LCMHC

NPI 1215917117 · on the registry since 2006 · sole proprietor

Practice

Address
6001 Gateway Center Dr.
Suite 105
Kannapolis, NC 28081
Phone
(704) 905-5201
Fax
(704) 612-7043

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina