Individual
DANA GRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
21 E STATE ST, COLUMBUS, OH 43215-4281
(574) 546-1900
(574) 546-1999
Mailing address
2135 WYANDOTTE AVE, LAKEWOOD, OH 44107-6148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1600037-SUPV
OH
101YP2500X
Professional Counselor
PC003862
PA
Other
Enumeration date
03/19/2008
Last updated
06/25/2024
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