MEDICARE: JOSHUA GRASHIN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	C.2002666	OH

General Provider Information

NPI Number	:	1821613118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA GRASHIN LPC

Provider Business Mailing Address
First Line	:	2858 FAIR AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-2212
Country	:	US
Telephone Number	:	206-251-4992
Fax Number	:

Provider Business Practice Location Address
First Line	:	2858 FAIR AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-2212
Country	:	US
Telephone Number	:	206-251-4992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2020
Last Update Date	:	06/11/2020

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