Individual provider · Type 1 NPI
Susan Ilene Grimmett, LADC
Addiction (Substance Use Disorder) Counselor · Las Vegas, NV
NPI number
1811350804
Active
Practice location
6628 Sky Pointe Dr Ste 125
Las Vegas, NV 89131-4076
Mailing address
8180 Finch Feather St
Las Vegas, NV 89143-6404
Other practice locations
- 2021 S Jones Blvd, Las Vegas, NV 89146-3137 · (702) 202-0099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 00774-L (NV) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00774-L |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1811350804
Susan Ilene Grimmett, LADC's National Provider Identifier is 1811350804, issued on Mar 29, 2016. 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 Oct 4, 2018.