Individual
SANA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 CAMERONS WAY, COVINGTON, GA 30016-1162
(504) 402-1866
Mailing address
160 CAMERONS WAY, COVINGTON, GA 30016-1162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006233
GA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/12/2016
Last updated
02/16/2018
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