Individual provider · Type 1 NPI

Edi Lane Griggs Halstead

Mental Health Counselor · Palmer, AK

NPI number 1346909546 Active

Practice location

3647 Clark Wolverine Road
Palmer, AK 99645

Call (907) 761-7426 Map

Mailing address

1950 S Bodenburg Loop
Palmer, AK 99645-7617

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X176780 (AK)

Mental Health Counselor: Definition to come...

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About NPI 1346909546

Edi Lane Griggs Halstead's National Provider Identifier is 1346909546, issued on Dec 15, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palmer, AK. The record was last updated on Dec 15, 2021.