Individual provider · Type 1 NPI

Adam Grisham

Addiction (Substance Use Disorder) Counselor · Wasilla, AK

NPI number 1184383440 Active

Practice location

7010 E Bogard Rd Bldg 1
Wasilla, AK 99654-4711

Fax (907) 746-4749

Mailing address

PO Box 876741
Wasilla, AK 99687-6741

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 1184383440

Adam Grisham's National Provider Identifier is 1184383440, issued on Dec 14, 2021. 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 Dec 14, 2021.