Individual
EMALEE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1206 E WARNER RD STE 115, GILBERT, AZ 85296-3133
(480) 590-3915
Mailing address
PO BOX 44091, PHOENIX, AZ 85064-4091
(480) 620-5836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-20163
AZ
Other
Enumeration date
08/13/2021
Last updated
11/15/2021
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