Individual
SUSAN ILENE GRIMMETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
6628 SKY POINTE DR STE 125, LAS VEGAS, NV 89131-4076
(702) 292-4732
Mailing address
8180 FINCH FEATHER ST, LAS VEGAS, NV 89143-6404
(702) 292-4732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00774-L
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
00774-L
—
Other
Enumeration date
03/29/2016
Last updated
10/04/2018
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