Individual
KELLY GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
3044 CONEY ISLAND AVE STE 3, BROOKLYN, NY 11235-5224
(718) 265-4200
(718) 265-8536
Mailing address
3044 CONEY ISLAND AVE STE 3, BROOKLYN, NY 11235-5224
(718) 265-4200
(718) 265-8536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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