Individual
SHANNON O GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S ACADIAN THRUWAY, BATON ROUGE, LA 70806-6900
(225) 223-6968
(225) 442-1396
Mailing address
1200 S ACADIAN THRUWAY, BATON ROUGE, LA 70806-6900
(225) 223-6968
(225) 442-1396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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