Gritton, Mark Allen

Gritton, Mark Allen is an individual health care provider with primary practice located at 1363 Fillmore St , Twin Falls ID 83301-3392. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gritton, Mark Allen can be contacted via phone (208) 736-7090.

Contact Information

Primary practice address
1363 Fillmore St Twin Falls ID 83301-3392
Phone: (208) 736-7090
Fax: (208) 736-7089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-4077 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-4894 Idaho

Profile Details

NPI number 1205080660
LBN Legal business name Gritton, Mark Allen
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2008
Last updated Aug 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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