Individual
ASHLY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 235-9373
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 235-9373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
100717
OH
1041C0700X
Clinical Social Worker
Primary
S. 1201001
OH
Other
Enumeration date
08/06/2015
Last updated
08/17/2022
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