Most Relevant Information
Provider Data
NPI Number: | 1003579988 |
Provider Name: | SAMINA L GRIMES M.S., LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 4890 |
Most Important Dates
Enumeration Date: | 10/18/2021 |
Last Updated: | 10/18/2021 |
Provider Practice Location
2216 KANE ST
LA CROSSE
WI
546031925
Practice Location Phone/Fax
Phone: | 6083854004 |
Fax: |
Provider Mailing Location
2216 KANE ST
LA CROSSE
WI
546031925
Provider Mailing Phone/Fax
Phone: | 6083854004 |
Fax: |