IndividualActive
Jeanette Granstrom, AA, BA, MACP
NPI 1891151361 · Mental Health Counselor · Fife, WA
Provider details
- NPI number
- 1891151361
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- AA, BA, MACP
- Sex
- Female
- Sole proprietor
- Yes
- License
- CG 60151269 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4047 Heritage Ave E
Fife, WA 98424-3798
Phone: (253) 259-8645
Approximate (ZIP-level) locationGet directions
Mailing address
4047 Heritage Ave E
Fife, WA 98424-3798
Registry dates
- Enumerated
- 2016-01-13
- Last updated
- 2016-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.