| Doctor Name: | MRS. JANEANE MARIE GRISEZ |
| NPI Number: | 1073873683 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LICDC, OCPS I |
| License Number: | ICDC-081246-DU |
| Business Practice Address: | 2863 State Route 45 N Rock Creek, OH - 440849352 |
| Business Phone Number: | 4407103272 |
| Business Fax Number: | 4405633545 |
| Mailing Address: | Po Box 298, ROCK CREEK |
| State: | OH |
| Postal Code: | 440840298 |
| Phone Number: | 4407103272 |
| Fax Number: | 4405633545 |
| NPI Enumeration Date: | 05/17/2012 |
| NPI Last Update Date: | 08/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | ICDC-081246-DU |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |