Individual
JUSTIN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, MPH
Contact information
Practice address
1217 RIVERSIDE AVE, FORT COLLINS, CO 80524-3218
(970) 494-4200
Mailing address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09930009
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09930009
CO
Other
Enumeration date
10/22/2021
Last updated
02/02/2026
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