Ross Nicholas Grainger
Counselor in Bethel, AK. Individual provider (NPI-1).
NPI number1962027136
StatusActive
Last updated in NPPESJun 12, 2020
Details
- NPI
- 1962027136
- Entity type
- Individual (NPI-1)
- Name
- Ross Nicholas Grainger
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2020
- Certification date
- Jun 12, 2020
- Last updated
- Jun 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1360 Calista DrBethel, AK 99559
Phone 907-543-6830 · Fax 907-543-3454
Mailing address
Po Box 528Bethel, AK 99559-0528
Phone 907-543-6830 · Fax 907-543-3454
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