Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gregory Charles Grimes, MASTER

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1659652212

Mr. Gregory Charles Grimes, MASTER is an Addiction (Substance Use Disorder) Counselor in Fair Oaks, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
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Practice location Address checks out

11228 Fair Oaks Blvd
Fair Oaks, CA 95628-5139
Phone: (916) 962-2800
Fax: (916) 962-2824
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Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1659652212
Entity typeIndividual (Type 1)
GenderMale
Credentials MASTER
Sole proprietorYes
NPI enumeratedSeptember 8, 2011
Last updated in NPPESSeptember 8, 2011
Mailing address11228 Fair Oaks Blvd, Fair Oaks, CA 95628-5139

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