| Doctor Name: | MRS. KIRSTEN LEE GRIGGS |
| NPI Number: | 1174634752 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | LCPC-371 |
| Business Practice Address: | 310 N 2nd E Ste 114 Rexburg, ID - 834401606 |
| Business Phone Number: | 2083590581 |
| Business Fax Number: | 2083591125 |
| Mailing Address: | Po Box 420, SUGAR CITY |
| State: | ID |
| Postal Code: | 834480420 |
| Phone Number: | 2083904122 |
| Fax Number: | 2083591125 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LCPC-371 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |