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Individual

BROOKE GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
14979 PHILLIPS HIGHWAY, SUITE 108, JACKSONVILLE, FL 32256
(904) 223-9100
Mailing address
1045 INWOOD TER, JACKSONVILLE, FL 32207-4250
(904) 652-9138

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH24210
FL

Other

Enumeration date
02/12/2025
Last updated
02/12/2025
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