Individual provider · Type 1 NPI

Sydney Grisham

Addiction (Substance Use Disorder) Counselor · Wasilla, AK

NPI number 1124632419 Active

Practice location

7010 E Bogard Rd
Wasilla, AK 99654-4711

Call (907) 373-4732 Map

Mailing address

2521 E Mountain Village Dr Ste B
Wasilla, AK 99654-7377

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124632419

Sydney Grisham's National Provider Identifier is 1124632419, issued on Sep 3, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wasilla, AK. The record was last updated on Oct 5, 2023.