Provider Demographics
NPI:1871525782
Name:GRIFFIN, MARSHA ANNE (LPC)
Entity type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:ANNE
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BROWNING RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-3202
Mailing Address - Country:US
Mailing Address - Phone:828-631-4488
Mailing Address - Fax:828-631-4477
Practice Address - Street 1:22 BROWNING RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-3202
Practice Address - Country:US
Practice Address - Phone:828-631-4488
Practice Address - Fax:828-631-4477
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4506101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102436Medicaid