Most Relevant Information
Provider Data
| NPI Number: | 1003220617 |
| Provider Name: | JAY ROLAND GRIFFITH IMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | F.1400008 |
Most Important Dates
| Enumeration Date: | 06/12/2014 |
| Last Updated: | 01/18/2023 |
Provider Practice Location
317 S MAIN ST
UPLAND
IN
469899358
Practice Location Phone/Fax
| Phone: | 7408774157 |
| Fax: | 7403442651 |
Provider Mailing Location
PO BOX 536
GRANVILLE
OH
430230536
Provider Mailing Phone/Fax
| Phone: | 7408774157 |
| Fax: | 7405871362 |