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Individual

CALLIE GRANTHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LAC

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 945-7031
(913) 588-8757
Mailing address
3901 RAINBOW BLVD, MAILSTOP 4015/ADDICTIONS, KANSAS CITY, KS 66160
(913) 945-7031
(913) 588-8757

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2012032164
MO
101YP2500X
Professional Counselor
Primary
2507
KS

Other

Enumeration date
10/30/2017
Last updated
10/30/2017
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