Individual provider · Type 1 NPI

Wesley Grimsley

Mental Health Counselor · Medford, OR

NPI number 1962949065 Active

Practice location

1035 N Keene Way Dr
Medford, OR 97504-6253

Call (541) 500-8814 Map

Fax (541) 500-8813

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962949065

Wesley Grimsley's National Provider Identifier is 1962949065, issued on Jan 26, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Jan 26, 2017.