Most Relevant Information
Provider Data
| NPI Number: | 1003019274 |
| Provider Name: | EMILY JOYCE GRANDUSKY MS, CRC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 172 |
Most Important Dates
| Enumeration Date: | 06/06/2007 |
| Last Updated: | 12/15/2015 |
Provider Practice Location
303 W. 6TH STREET
JUNIOR
WV
262750324
Practice Location Phone/Fax
| Phone: | 3049972835 |
| Fax: |
Provider Mailing Location
PO BOX 324
JUNIOR
WV
262750324
Provider Mailing Phone/Fax
| Phone: | 3049972835 |
| Fax: |