Individual
REGINA MARIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1215A STEWART PLZ, DUNBAR, WV 25064-3021
(304) 768-5506
(304) 768-5508
Mailing address
1215A STEWART PLZ, DUNBAR, WV 25064-3021
(304) 768-5506
(304) 768-5508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1820
WV
Other
Enumeration date
05/24/2007
Last updated
02/03/2017
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