Individual
MR. BARDEN GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS.,CCS
Contact information
Practice address
3750 MEADOW VIEW RD, LUMBERTON, NC 28358-1920
(910) 618-9912
(910) 618-0728
Mailing address
3750 MEADOW VIEW RD, LUMBERTON, NC 28358-1920
(910) 618-9912
(910) 618-0728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
707
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6110553
—
NC
Enumeration date
03/19/2007
Last updated
07/09/2007
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