Mr. Jeremiah Grogg MS, LPC
Professional Counselor in Evans, GA(View on Map)
Full Name
Mr. Jeremiah Grogg MS, LPC
NPI Number
1578017166
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/11/2016
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
LPC009114
Contact
Information
Purpose
Mailing
Location
Address
601 N BELAIR SQ STE 2
601 N BELAIR SQ STE 2
City
Evans
Evans
State
GA
GA
Postal Code
30809
30809-0518
Country
US
US
Telephone Number
(706) 836-1195
(706) 836-1195
Identifiers
Identifier
003181469A
Identifier State
GA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/21/2022