person
Tanner Grimsley, LAC
Addiction (Substance Use Disorder) Counselor in Grand Forks, North Dakota
NPI 1922342955

Tanner Grimsley is an Addiction (Substance Use Disorder) Counselor based in Grand Forks, ND and is specialized in Addiction (Substance Use Disorder). Tanner Grimsley practices in Grand Forks, ND and has the professional credentials of LAC. The NPI Number for Tanner Grimsley is 1922342955 and holds a License No. 850-10-1-15A (North Dakota).

The current practice location address for Tanner Grimsley is 2424 32Nd Ave S Ste 202, Grand Forks, ND and can be reached out via phone at 701-746-6336 and via fax at 701-772-1030.

Location: 2424 32Nd Ave S Ste 202, Grand Forks, ND, 58201-6545
person
Provider Profile Details
NPI Number
1922342955
Provider Name
Tanner Grimsley
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
2424 32Nd Ave S Ste 202, Grand Forks, ND, 58201-6545
Phone Number
701-746-6336
Fax Number
701-772-1030
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2424 32Nd Ave S Ste 202
City
State
Zip
58201-6545
Phone Number
701-746-6336
Fax Number
701-772-1030
person
Provider Business Mailing Address Details
Address
2424 32Nd Ave S Ste 202
City
State
Zip
58201-6545
Phone Number
701-746-6336
Fax Number
701-772-1030
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1692 (North Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
850-10-1-15A (North Dakota)
Definition
Definition to come...
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