Individual provider · Type 1 NPI

Kimberly Grace

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1760686307 Active

Practice location

948 11th St, Suite 20
Modesto, CA 95354-2308

Fax (209) 579-9605

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 1760686307

Kimberly Grace's National Provider Identifier is 1760686307, issued on Jun 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.