Individual provider · Type 1 NPI

Gregory Charles Grimes, MASTER

Addiction (Substance Use Disorder) Counselor · Fair Oaks, CA

NPI number 1659652212 Active

Practice location

11228 Fair Oaks Blvd
Fair Oaks, CA 95628-5139

Call (916) 962-2800 Map

Fax (916) 962-2824

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 1659652212

Gregory Charles Grimes, MASTER's National Provider Identifier is 1659652212, issued on Sep 8, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fair Oaks, CA. The record was last updated on Sep 8, 2011.