Individual
MARK ALLEN GRITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Mailing address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-4894
ID
101YP2500X
Professional Counselor
Primary
LPC-4077
ID
Other
Enumeration date
11/12/2008
Last updated
08/19/2015
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