Individual
GRANT JUSTIN ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPCC
Contact information
Practice address
26246 CRANE RD, WHITE EARTH, MN 56591-9998
(218) 983-4703
Mailing address
PO BOX 300, WHITE EARTH, MN 56591-0300
(218) 983-4703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2870
MN
Other
Enumeration date
03/30/2017
Last updated
04/11/2024
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