Individual provider · Type 1 NPI

Kathy Grimm

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1922285485 Active

Practice location

6707 Embarcadero Dr
Stockton, CA 95219-3382

Call (209) 956-4240 Map

Fax (209) 956-4245

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 1922285485

Kathy Grimm's National Provider Identifier is 1922285485, issued on Jan 28, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jan 28, 2008.