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Contact Information

EDIE D GRIZZLE, LPC, LMAC
210 W 21ST ST
CONCORDIA, KS66901-5200
 Phone: 785-243-8900
 Fax: 785-243-8933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for EDIE D GRIZZLE · (Female)

NPI # 1841550183
Status Active
Credentials LPC, LMAC
Entity Individual
Enumeration date 05/21/2012
Last updated 09/10/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 020
  • KS License # 2397
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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