Healthcare Provider Details

I. General information

NPI: 1639114986
Provider Name (Legal Business Name): JAMES ANDERSON GRIGG LCPC, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 W. MAIN ST.
KUNA ID
83634
US

IV. Provider business mailing address

1914 N SUMMERWIND PL
KUNA ID
83634-3463
US

V. Phone/Fax

Practice location:
  • Phone: 208-922-9001
  • Fax: 208-922-3778
Mailing address:
  • Phone: 208-922-9001
  • Fax: 208-922-3778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC-407
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT-2743
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: