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General NPI Number Information
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NPI Number | 1639114986
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Entity Type | Individual
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Provider Name | JAMES ANDERSON GRIGG LCPC, LMFT
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Gender | Male
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 190 W. MAIN ST.
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City | KUNA
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State | ID
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Zip | 83634
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Country | US
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Telephone | 208-922-9001
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Fax | 208-922-3778
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Provider Business Mailing Address
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Address Line | 1914 N SUMMERWIND PL
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City | KUNA
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State | ID
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Zip | 83634-3463
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Country | US
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Telephone | 208-922-9001
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Fax | 208-922-3778
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCPC-407
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-2743
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License Number State | ID
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