Individual
AMY C GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2473 N LANDING RD, VIRGINIA BEACH, VA 23456-3404
(757) 385-4537
Mailing address
208 APPLEWOOD LN, VIRGINIA BEACH, VA 23452-6804
(757) 589-1961
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004717
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861562472
—
VA
Enumeration date
12/07/2010
Last updated
12/07/2010
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