Individual
CHRISTINE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC LSW
Contact information
Practice address
1501 MADISON RD, CINCINNATI, OH 45206
(513) 354-5200
Mailing address
4464 TIMBER GLENN DR APT 6, BATAVIA, OH 45103-3521
(937) 205-6495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1700147
OH
104100000X
Social Worker
S.0700168
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255801
—
OH
Enumeration date
04/26/2007
Last updated
09/28/2023
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