Individual
DARA NATAKA ADESIMBO GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
108 N FAYETTEVILLE ST, LIBERTY, NC 27298-3203
(336) 814-1731
Mailing address
6359 PATTERSON RD, SNOW CAMP, NC 27349-9015
(336) 814-1731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/27/2023
Last updated
06/06/2023
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