Individual provider · Type 1 NPI
Mary Lisa Grimmer
Mental Health Counselor · Fort Myers, FL
NPI number
1629708243
Active
Practice location
7235 Maida Ln Apt 5C
Fort Myers, FL 33908-4203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH11345 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1629708243
Mary Lisa Grimmer's National Provider Identifier is 1629708243, issued on Jun 15, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Myers, FL. The record was last updated on Jun 15, 2022.