Provider Demographics
NPI:1174873152
Name:GRIECO, THERESE M (MA, LPCC)
Entity type:Individual
Prefix:
First Name:THERESE
Middle Name:M
Last Name:GRIECO
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6265 RIVERSIDE DR STE S200
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-5401
Mailing Address - Country:US
Mailing Address - Phone:614-892-7762
Mailing Address - Fax:614-639-8066
Practice Address - Street 1:6265 RIVERSIDE DR STE S200
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-5401
Practice Address - Country:US
Practice Address - Phone:614-892-7762
Practice Address - Fax:614-639-8066
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2023-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1000001101YP2500X
OHE.1901302101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional