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Kim L Grata, CADC
Addiction (Substance Use Disorder) Counselor in Twin Falls, Idaho
NPI 1336738574

Kim L Grata is an Addiction (Substance Use Disorder) Counselor based in Twin Falls, ID and is specialized in Addiction (Substance Use Disorder). Kim L Grata practices in Twin Falls, ID and has the professional credentials of CADC. The NPI Number for Kim L Grata is 1336738574 and holds a License No. (Idaho).

The current practice location address for Kim L Grata is 630 Addison Ave W Ste 1000, Twin Falls, ID and can be reached out via phone at 208-736-5048 and via fax at 208-735-2126. You can also correspond with Kim L Grata through the mailing address at 630 ADDISON AVE W STE 1000, TWIN FALLS, ID - 83301-5853 (mailing address contact number: 208-736-5048).

Location: 630 Addison Ave W Ste 1000, Twin Falls, ID, 83301-5853
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Provider Profile Details
NPI Number
1336738574
Provider Name
Kim L Grata
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
630 Addison Ave W Ste 1000, Twin Falls, ID, 83301-5853
Phone Number
208-736-5048
Fax Number
208-735-2126
Provider Enumeration Date
01/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I1709684 05 ID
institution
Provider Business Practice Location Address Details
Address
630 Addison Ave W Ste 1000
City
State
Zip
83301-5853
Phone Number
208-736-5048
Fax Number
208-735-2126
person
Provider Business Mailing Address Details
Address
630 Addison Ave W Ste 1000
City
State
Zip
83301-5853
Phone Number
208-736-5048
Fax Number
208-735-2126
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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