Individual
LETITIA KESHAUN GRANGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MED, LPC
Contact information
Practice address
2083 PEMBERTON RD SW, ATLANTA, GA 30331-2522
(404) 401-7674
Mailing address
2002 SUMMIT BLVD STE 300, BROOKHAVEN, GA 30319-6422
(414) 424-4266
(405) 520-6633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012772
GA
Other
Enumeration date
03/21/2022
Last updated
03/21/2023
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