Individual
JAMES J GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
(719) 589-3671
(719) 587-5693
Mailing address
2705 PARK AVE, ALAMOSA, CO 81101-2086
(719) 587-3293
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2657
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2657
LICENSED PSYCHOLOGIST
CO
Enumeration date
03/15/2007
Last updated
07/08/2007
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