Individual
MR. JIM ANDERSON GRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, LMFT
Contact information
Practice address
145 E DEER FLAT RD, KUNA, ID 83634-1323
(208) 922-9001
(208) 922-3778
Mailing address
1914 N SUMMERWIND PL, KUNA, ID 83634-3463
(208) 922-9001
(208) 922-3778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-407
ID
106H00000X
Marriage & Family Therapist
LMFT-2743
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010034754
BLUE SHIELD
ID
05
—
806162000
—
ID
01
—
Q2701
BLUE CROSS
ID
Enumeration date
06/19/2006
Last updated
04/03/2026
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