Stephen Roger Grams, MA
Counselor, Addiction (Substance Use Disorder) in Mesa, AZ. Individual provider (NPI-1).
NPI number1417455395
StatusActive
Last updated in NPPESJan 25, 2018
Details
- NPI
- 1417455395
- Entity type
- Individual (NPI-1)
- Name
- Stephen Roger Grams
- Credential
- MA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2018
- Last updated
- Jan 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LISAC-1405 | AZ | Yes |
Practice location
1830 S Alma School Rd Ste 101Mesa, AZ 85210-3086
Phone 480-649-3352
Mailing address
1830 S Alma School Rd Ste 101Mesa, AZ 85210-3086
Phone 480-649-3352
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