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Individual
TRINA S GRANT
Active
Individual
TRINA S GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
181128
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181128
OHIO CHEMICAL DEPENDENCY PROFESSIONAL BOARD
OH
Enumeration date
06/27/2022
Last updated
06/27/2023
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