Individual
JAMES GRIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
3505 WESTERN AVE, KINGMAN, AZ 86409-3011
(928) 757-8111
(928) 757-1199
Mailing address
3505 WESTERN AVE, KINGMAN, AZ 86409-3011
(928) 757-8111
(928) 757-1199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10388
AZ
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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