Individual
JANA MARIE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CDP
Contact information
Practice address
1740 NW MAPLE ST STE 210, ISSAQUAH, WA 98027-8127
(253) 686-3683
Mailing address
1740 NW MAPLE ST STE 210, ISSAQUAH, WA 98027-8127
(253) 686-3683
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60131241
WA
101Y00000X
Counselor
CO60146808
WA
Other
Enumeration date
01/13/2011
Last updated
08/06/2019
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