Individual
VERONICA MARIE GRIMALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
204 10TH AVE S, NAMPA, ID 83651-3832
(208) 466-2229
(208) 466-2667
Mailing address
204 10TH AVE S, NAMPA, ID 83651-3832
(208) 466-2229
(208) 466-2667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC-9859
ID
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/12/2022
Last updated
05/26/2024
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