Individual
TE'ON GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89B OLD TROLLEY RD, SUMMERVILLE, SC 29485-4933
(843) 425-2116
Mailing address
8684 HICKORY CREEK CT, NORTH CHARLESTON, SC 29420-6871
(843) 442-1519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7416
SC
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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