Individual
AARON ANDERSON GRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-24-3500
OR
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L3833
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50077591
—
OR
05
—
500775921
—
OR
Enumeration date
10/05/2006
Last updated
08/30/2024
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