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Individual

MR. JOHN JOSEPH GRIMAUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA LPC LCSW

Contact information

Practice address
13354 MANCHESTER RD, SUITE 220, SAINT LOUIS, MO 63131-1709
(314) 220-6981
(314) 692-7929
Mailing address
13354 MANCHESTER RD, SUITE 220, SAINT LOUIS, MO 63131-1709
(314) 220-6981
(314) 692-7929

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CS000987
MO
1041C0700X
Clinical Social Worker
Primary
SW004212
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015264
EXCLUSIVE CHOICE FMH
01
143303
CMR
01
170538
VALUEOPTIONS
01
18794
BLUE CROSS BLUE SHIELD
01
38295
HEALTHLINK NON PAR
01
6214089
UNITED HEALTHCARE UNITED
Enumeration date
10/19/2006
Last updated
09/11/2025
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