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Mr. Allen Grim, BA
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1295916963

Allen Grim is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Allen Grim practices in Stockton, CA and has the professional credentials of BA. The NPI Number for Allen Grim is 1295916963 and holds a License No. CACS360707 (California).

The current practice location address for Allen Grim is 1934 Country Club Blvd Apt 2, Stockton, CA and can be reached out via phone at 209-518-7905 and via fax at 209-938-0281.

Location: 1934 Country Club Blvd Apt 2, Stockton, CA, 95204-4853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295916963
Provider Name
Allen Grim
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
1934 Country Club Blvd Apt 2, Stockton, CA, 95204-4853
Phone Number
209-518-7905
Fax Number
209-938-0281
Provider Enumeration Date
11/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1934 Country Club Blvd Apt 2
City
Stockton
State
California
Zip
95204-4853
Phone Number
209-518-7905
Fax Number
209-938-0281
person
Provider Business Mailing Address Details
Address
1934 Country Club Blvd Apt 2
City
Stockton
State
California
Zip
95204-4853
Phone Number
209-518-7905
Fax Number
209-938-0281
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CACS360707 (California)
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 supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CACS360707 (California)
Definition
Definition to come...
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