person
Russell Grimes JR.
Mental Health Counselor in Anaheim, California
NPI 1467121400

Russell Grimes JR. is a Mental Health Counselor based in Anaheim, CA and is specialized in Mental Health. Russell Grimes JR. practices in Anaheim, CA. The NPI Number for Russell Grimes JR. is 1467121400 and holds a License No. (California).

The current practice location address for Russell Grimes JR. is 2026 W Beacon Ave, Anaheim, CA and can be reached out via phone at 657-276-7030.

Location: 2026 W Beacon Ave, Anaheim, CA, 92804-4406
person
Provider Profile Details
NPI Number
1467121400
Provider Name
Russell Grimes JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2026 W Beacon Ave, Anaheim, CA, 92804-4406
Phone Number
657-276-7030
Fax Number
Provider Enumeration Date
09/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2026 W Beacon Ave
City
State
Zip
92804-4406
Phone Number
657-276-7030
Fax Number
person
Provider Business Mailing Address Details
Address
2026 W Beacon Ave
City
State
Zip
92804-4406
Phone Number
657-276-7030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(California)
Definition
Definition to come...
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