Jennifer Grimes

NPI #1417149543 in Rutherfordton, North Carolina

Provider Information

NPI Number: 1417149543
Entity Type: Individual
Name: Jennifer Grimes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Aug 13, 2007
Last Updated: May 21, 2019

Practice Location

Address: 356 CHARLOTTE RD
City: Rutherfordton
State: North Carolina
ZIP Code: 28139
Phone: (941) 441-8068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Occupational Therapy Assistant	224Z00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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