Organization
GRADIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRANT SCOTT LCPC (THERAPIST)
(217) 221-0299
Entity
Organization
Contact information
Practice address
1502 DELMONT CT APT 2, URBANA, IL 61801-5071
(217) 221-0299
Mailing address
1502 DELMONT CT APT 2, URBANA, IL 61801-5071
(217) 221-0299
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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