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Individual
MR. GRANT LESLEY ANDERSON
Active
Individual
MR. GRANT LESLEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
98002878A
IN
101YM0800X
Mental Health Counselor
E.2202961
OH
101YM0800X
Mental Health Counselor
PC015002
PA
Other
Enumeration date
08/19/2019
Last updated
04/30/2024
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