Individual
KATELYN MAE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
18205 N 51ST AVE STE 136, GLENDALE, AZ 85308-1492
(480) 640-2998
(866) 340-1836
Mailing address
18205 N 51ST AVE STE 136, GLENDALE, AZ 85308-1492
(480) 640-2998
(866) 340-1836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3012-226
WI
101YM0800X
Mental Health Counselor
Primary
LPC-18282
AZ
Other
Enumeration date
05/17/2016
Last updated
05/04/2026
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