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NPI Code Detail

MEDICARE: MRS. KRISTINA GRUNO M.S.

MEDICARE: MRS. KRISTINA GRUNO M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1649584293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTINA GRUNO M.S.
Provider Business Mailing Address
First Line : 7010 E BOGARD RD
Second Line :
City : WASILLA
State : AK
Zip : 99654-4711
Country : US
Telephone Number : 907-746-4377
Fax Number :
Provider Business Practice Location Address
First Line : 7010 E BOGARD RD
Second Line :
City : WASILLA
State : AK
Zip : 99654-4711
Country : US
Telephone Number : 907-746-4377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2010
Last Update Date : 03/18/2025

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