Allen Grim in Stockton - Counselor

Allen Grim - NPI 1295916963

Allen Grim is a Counselor in Stockton, California. Allen Grim practices all healthcare services and medical treatments related to Counselor. The NPI Number for Allen Grim is 1295916963. The last update date is 2008-07-31.

Allen Grim's current location address is 1934 Country Club Blvd Apt 2, Stockton, California. You can contact this provider via phone number 2095187905 and fax number 2099380281. The mailing address for Allen Grim is 1934 Country Club Blvd Apt 2, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Allen Grim
Address 1934 Country Club Blvd Apt 2, Stockton, California
Phone Number 2095187905
Fax Number 2099380281
Sole Proprietor Y
Credentials BA

NPI Number Detail

NPI Number 1295916963
Provider Enumeration Date 2007-11-21
Last Updated Date 2008-07-31

Provider Mailing Address Detail

Address 1934 Country Club Blvd Apt 2
City Stockton
State California (CA)
Post Code 952044853
Phone Number 2095187905
Fax Number 2099380281

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Licence No CACS360707
Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe

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FAQs about Allen Grim

What is the unique 10-digit identification code assigned to Allen Grim by the Centers for Medicare & Medicaid Services?

The Allen Grim has been issued the NPI (National Provider Identifier) 1295916963, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Allen Grim is located?

The Allen Grim is situated at the following address: 1934 Country Club Blvd Apt 2, Stockton, CA, 952044853.

What is the Allen Grim's area of specialization and corresponding taxonomy classification?

The Allen Grim's specialty field is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1295916963 assigned to Allen Grim?

The Allen Grim was issued its 1295916963 on 2007-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Allen Grim most recently updated or revised?

The information pertaining to Allen Grim, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-31.

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