| Doctor Name: | MR. JAMES ANDERSON GRIGG |
| NPI Number: | 1639114986 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC, LMFT |
| License Number: | LCPC-407 |
| Business Practice Address: | 190 W. Main St. Kuna, ID - 83634 |
| Business Phone Number: | 2089229001 |
| Business Fax Number: | 2089223778 |
| Mailing Address: | 1914 N Summerwind Pl, KUNA |
| State: | ID |
| Postal Code: | 836343463 |
| Phone Number: | 2089229001 |
| Fax Number: | 2089223778 |
| NPI Enumeration Date: | 06/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LCPC-407 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |