Individual
MARY CATHERINE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC/CCMHC/LCMHC/LCAS
Contact information
Practice address
100 S MARSHALL ST STE 1, WINSTON SALEM, NC 27101-2843
(362) 761-2783
(336) 276-1516
Mailing address
100 S MARSHALL ST STE 1, WINSTON SALEM, NC 27101-2843
(336) 276-1278
(336) 276-1516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-21990
NC
101YP2500X
Professional Counselor
Primary
11728
NC
Other
Enumeration date
08/30/2016
Last updated
06/16/2023
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