Individual
ANJELICA TIANNA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 SWIFT CREEK AVE, NORTH LAS VEGAS, NV 89031-3641
(702) 910-7096
Mailing address
4020 SWIFT CREEK AVE, NORTH LAS VEGAS, NV 89031-3641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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