Provider Demographics
NPI:1740352715
Name:GRIFFIN, JOYCE ANN (PHD, LCPC)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:ANN
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:PHD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17376 GARRETT RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62951-2414
Mailing Address - Country:US
Mailing Address - Phone:618-525-2340
Mailing Address - Fax:618-983-6609
Practice Address - Street 1:202 E OAK ST
Practice Address - Street 2:
Practice Address - City:WEST FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:62896-2742
Practice Address - Country:US
Practice Address - Phone:618-525-2340
Practice Address - Fax:618-983-6609
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health