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Mr. Wayne Lee Grigsby, CADAC
Addiction (Substance Use Disorder) Counselor in Berkeley, California
NPI 1740474220

Wayne Lee Grigsby is an Addiction (Substance Use Disorder) Counselor based in Berkeley, CA and is specialized in Addiction (Substance Use Disorder). Wayne Lee Grigsby practices in Berkeley, CA and has the professional credentials of CADAC. The NPI Number for Wayne Lee Grigsby is 1740474220 and holds a License No. I2011506 (California).

The current practice location address for Wayne Lee Grigsby is 1931 Center St, Berkeley, CA and can be reached out via phone at 510-666-9552.

Location: 1931 Center St, Berkeley, CA, 94704-1105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740474220
Provider Name
Wayne Lee Grigsby
Credential
CADAC
Provider Entity Type
Individual
Gender
Male
Address
1931 Center St, Berkeley, CA, 94704-1105
Phone Number
510-666-9552
Fax Number
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171 01 CA OTHER
institution
Provider Business Practice Location Address Details
Address
1931 Center St
City
Berkeley
State
California
Zip
94704-1105
Phone Number
510-666-9552
Fax Number
person
Provider Business Mailing Address Details
Address
1931 Center St
City
Berkeley
State
California
Zip
94704-1105
Phone Number
510-666-9552
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
I2011506 (California)
Definition
Definition to come...
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