Individual
MS. JEAN LINDA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 833-3622
(716) 834-4557
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 833-3622
(716) 834-4557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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