Individual
MRS. JANELLE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1035 CHERAW STREET, BENNETTSVILLE, SC 29512
(843) 454-0841
(843) 454-0635
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512
(843) 454-0841
(843) 454-0635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
05
—
570692964
—
SC
Enumeration date
03/14/2022
Last updated
11/29/2024
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