Individual
MR. JAMES E GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
40 MAIN ST, WESTHAMPTON BEACH, NY 11978-2673
(631) 288-1955
Mailing address
19 EVY CT, SAYVILLE, NY 11782
(631) 512-3642
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17564
NY
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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