Grussing, Joan Elizabeth
Grussing, Joan Elizabeth is an sole proprietor health care provider with primary practice located at 11851 N 51St Ave Ste B110 , Glendale AZ 85304-2823. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Grussing, Joan Elizabeth can be contacted via phone (480) 882-4545.Contact Information
Primary practice address
11851 N 51St Ave Ste B110
Glendale AZ 85304-2823
Phone: (480) 882-4545
Fax: (602) 409-0499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC 11798 | Arizona |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC 10120 | Arizona |
Profile Details
| NPI number | 1588937643 |
|---|---|
| LBN Legal business name | Grussing, Joan Elizabeth |
| Credentials | LPC-S, LISAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2012 |
| Last updated | Feb 7th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588937643 | NPPES |
| Arizona | MEDICAID | 428362 |
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