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Individual

MR. GRANT LESLEY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
5110 COMMERCE SQUARE DR STE F, INDIANAPOLIS, IN 46237-9244
(317) 540-3314
Mailing address
5110 COMMERCE SQUARE DR STE F, INDIANAPOLIS, IN 46237-9244
(877) 594-9204

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
98002878A
IN
101YM0800X
Mental Health Counselor
E.2202961
OH
101YM0800X
Mental Health Counselor
PC015002
PA

Other

Enumeration date
08/19/2019
Last updated
04/30/2024
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