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Organization
COUNTY OF GRANT
Active
Organization
COUNTY OF GRANT
Active
Other names
Grant Mental Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY ALLISON (EXECUTIVE DIRECTOR)
(509) 765-9239
Entity
Organization
Contact information
Practice address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
(509) 765-4124
Mailing address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
(509) 765-4124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2005
Last updated
12/30/2014
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