# JANET M GRIM MA LMFT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427353150
- **Authorized official:** JANET MCCULLOUGH GRIM M.A. (PRESIDENT)
- **Authorized official phone:** (904) 269-7500

## Contact information

- **Practice address:** 1726 KINGSLEY AVE, SUITE 3, ORANGE PARK, FL 32073
- **Practice address phone:** (904) 269-7500
- **Practice address fax:** (904) 269-9972
- **Mailing address:** 1726 KINGSLEY AVE, SUITE 3, ORANGE PARK, FL 32073
- **Mailing address phone:** (904) 269-7500
- **Mailing address fax:** (904) 269-9972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT485 | FL | Yes |

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 01/11/2011