person
Ms. Kimberly Grace
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1760686307

Kimberly Grace is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). Kimberly Grace practices in Modesto, CA. The NPI Number for Kimberly Grace is 1760686307 and holds a License No. (California).

The current practice location address for Kimberly Grace is 948 11Th St, Modesto, CA and can be reached out via phone at 209-579-1151 and via fax at 209-579-9605. You can also correspond with Kimberly Grace through the mailing address at 948 11TH ST, MODESTO, CA - 95354-2308 (mailing address contact number: 209-579-1151).

Location: 948 11Th St, Modesto, CA, 95354-2308
person
Provider Profile Details
NPI Number
1760686307
Provider Name
Kimberly Grace
Credential
Provider Entity Type
Individual
Gender
Female
Address
948 11Th St, Modesto, CA, 95354-2308
Phone Number
209-579-1151
Fax Number
209-579-9605
Provider Enumeration Date
06/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA040OX 01 CA ADDICTION COUNSELOR
institution
Provider Business Practice Location Address Details
Address
948 11Th St
City
State
Zip
95354-2308
Phone Number
209-579-1151
Fax Number
209-579-9605
person
Provider Business Mailing Address Details
Address
948 11Th St
City
State
Zip
95354-2308
Phone Number
209-579-1151
Fax Number
209-579-9605
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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