Individual provider · Type 1 NPI
Kim Marie Grum, LSUDC, CAADC, CRS
Addiction (Substance Use Disorder) Counselor · Las Vegas, NV
NPI number
1649271933
Active
Practice location
2512 Golden Sands Dr
Las Vegas, NV 89128-6801
Fax (215) 491-1750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13939693 (UT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1649271933
Kim Marie Grum, LSUDC, CAADC, CRS's National Provider Identifier is 1649271933, issued on Aug 9, 2005. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 24, 2025.