MR. ALLEN GRIM BA NPI 1295916963

NPI Information

NPI: 1295916963
Provider Name: MR. ALLEN GRIM, BA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1934 COUNTRY CLUB BLVD APT 2
STOCKTON, CA
ZIP 95204
Phone: (209) 518-7905
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MR. Allen Grim, BA is an addiction (substance use disorder) counselor in Stockton, CA. MR. Allen Grim, BA NPI is 1295916963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1934 COUNTRY CLUB BLVD APT 2
STOCKTON, CA
ZIP 95204-853
Phone: (209) 518-7905
Fax: (209) 938-0281

The enumeration date for this NPI number is 11/21/2007 and was last updated on 7/31/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		CACS360707	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CACS360707	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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