person
Dr. Kim Marie Grum, LSUDC,CAADC,CRS
Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada
NPI 1649271933

Kim Marie Grum is an Addiction (Substance Use Disorder) Counselor based in Las Vegas, NV and is specialized in Addiction (Substance Use Disorder). Kim Marie Grum practices in Las Vegas, NV and has the professional credentials of LSUDC,CAADC,CRS. The NPI Number for Kim Marie Grum is 1649271933 and holds a License No. 13939693 (Nevada).

The current practice location address for Kim Marie Grum is 2512 Golden Sands Dr, Las Vegas, NV and can be reached out via phone at 215-919-1558 and via fax at 215-491-1750.

Location: 2512 Golden Sands Dr, Las Vegas, NV, 89128-6801
person
Provider Profile Details
NPI Number
1649271933
Provider Name
Kim Marie Grum
Credential
LSUDC,CAADC,CRS
Provider Entity Type
Individual
Gender
Female
Address
2512 Golden Sands Dr, Las Vegas, NV, 89128-6801
Phone Number
215-919-1558
Fax Number
215-491-1750
Provider Enumeration Date
08/09/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0284366000 01 PA INDEPENDENCE BLUE CROSS
07802520 05 PA
1649271933 05 UT
447982 01 PA HIGHMARK BLUE SHIELD
1015164 01 PA KEYSTONE MERCY
institution
Provider Business Practice Location Address Details
Address
2512 Golden Sands Dr
City
State
Zip
89128-6801
Phone Number
215-919-1558
Fax Number
215-491-1750
person
Provider Business Mailing Address Details
Address
2512 Golden Sands Dr
City
State
Zip
89128-6801
Phone Number
215-919-1558
Fax Number
215-491-1750
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13939693 (Utah)
Definition
Definition to come...
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