SearchIdaho1041C0700X

Joshua Grade, LCSW

NPI 1639605694 · on the registry since 2017 · sole proprietor

Practice

Address
1322 W Verbena Dr
Meridian, ID 83642
Phone
(208) 559-6197
Organisation at this address
Renew Therapy Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho