Individual provider · Type 1 NPI
Grover Paul Pridmore, M.ED., LMHC
Professional Counselor · Moses Lake, WA
NPI number
1700076080
Active
Practice location
1008 W Ivy Ave
Moses Lake, WA 98837-2049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 9746 (WA) |
Professional Counselor: Definition to come...
About NPI 1700076080
Grover Paul Pridmore, M.ED., LMHC's National Provider Identifier is 1700076080, issued on Aug 1, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Moses Lake, WA. The record was last updated on Sep 22, 2009.