Individual provider · Type 1 NPI

Tanner Grimsley, LAC

Addiction (Substance Use Disorder) Counselor · Grand Forks, ND

NPI number 1922342955 Active

Practice location

2424 32nd Ave S Ste 202
Grand Forks, ND 58201-6545

Fax (701) 772-1030

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X850-10-1-15A (ND)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1692 (ND)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1922342955

Tanner Grimsley, LAC's National Provider Identifier is 1922342955, issued on Nov 15, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Forks, ND. The record was last updated on Jan 24, 2017.