Individual
CHARLENE L GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
314 ELLICOTT ST, BATAVIA, NY 14020-3650
(585) 815-0247
(585) 815-0251
Mailing address
55 DODGE RD, GETZVILLE, NY 14068-1205
(716) 831-2700
(585) 815-0251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21089
NY
Other
Enumeration date
10/16/2023
Last updated
10/23/2023
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