Individual
MRS. EIRIN C. GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
504 S 4TH ST, LARAMIE, WY 82070-3704
(307) 755-1000
Mailing address
2636 PLAINS ST, LARAMIE, WY 82072-5230
(307) 399-0993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-419
WY
101YM0800X
Mental Health Counselor
Primary
LPC-1233
WY
Other
Enumeration date
07/02/2008
Last updated
02/18/2017
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