| Doctor Name: | JEFFREY J GRASSER |
| NPI Number: | 1104844075 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 327 |
| Business Practice Address: | 2250 S Woodworth Loop Suite 202 Palmer, AK - 996457457 |
| Business Phone Number: | 9077615800 |
| Business Fax Number: | 9077615801 |
| Mailing Address: | Po Box 4105, PORTLAND |
| State: | OR |
| Postal Code: | 972084105 |
| Phone Number: | 8669071068 |
| Fax Number: | 4259179141 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 327 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |