Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIM MARIE GRUM, LSUDC, CAADC, CRS
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · LAS VEGAS, NV
Registration Details
- NPI Number
- 1649271933
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2005 (20.702078550298 yrs)
- Last Updated
- Jan 24, 2025
- License
-
13939693 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2512 GOLDEN SANDS DRLAS VEGAS, NV, 891286801Browse NV providers · Browse ZIP 89128
- Phone
- 2159191558
- Fax
- 2154911750
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| MS. OMEGA JODEAN GALLIANO | M.S. | 1780665687 |
| DEBORA TRETIAK | M.S. | 1235177551 |
| MS. CHERYL CORNELIUS | MET | 1194755835 |
| FRANK KARR | LADC | 1093734824 |
| JANE MARIE SCHMIDT | L.A.D.C. | 1952312613 |
| RONALD A. RECINA | M. ED. | 1790796464 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.