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Individual

ADAM DOUGLAS GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPRC, CPSS, CHW

Contact information

Practice address
124 PEARL ST STE 450, YPSILANTI, MI 48197-2663
(517) 266-8880
(517) 266-8881
Mailing address
6150 W MICHIGAN AVE APT L16, LANSING, MI 48917-2422
(517) 918-3306

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
172V00000X
Community Health Worker
Primary
MI

Other

Enumeration date
04/09/2020
Last updated
07/09/2025
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