Charles Wayne Grimsley

NPI #1700976164 in Grand Junction, Colorado

Provider Information

NPI Number: 1700976164
Entity Type: Individual
Name: Charles Wayne Grimsley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Pastoral
Enumeration Date: Oct 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2121 NORTH AVE
City: Grand Junction
State: Colorado
ZIP Code: 81501-6428
Phone: (970) 263-5018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X	Primary

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