KELLY GRIMSLEY

MEDFORD, OR
NPI1992163406
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   professionallicense)
Enumeration Date2016-01-29
Last Update Date2022-03-31
Business Address
KELLY GRIMSLEY
3200 JUANIPERO WAY
MEDFORD, OR 97504-8580
Phone number: 541-816-4131
Mailing Address
KELLY GRIMSLEY
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170