Individual
DEVIN R GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
4023 AMBASSADOR CAFFERY PKWY STE 507, LAFAYETTE, LA 70503-5268
(337) 284-0820
Mailing address
4409 CAPTAIN CADE RD, YOUNGSVILLE, LA 70592-6440
(337) 303-4934
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC10170
LA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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