Individual
MR. ARCHIE GRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 SILVER AVE SE, SUITE F, ALBUQUERQUE, NM 87108-2748
(505) 255-1804
(505) 265-4446
Mailing address
4300 SILVER AVE SE, SUITE F, ALBUQUERQUE, NM 87108-2748
(505) 255-1804
(505) 265-4446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1348
NM
Other
Enumeration date
11/12/2009
Last updated
11/16/2016
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