Individual
DEBRA T GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC MHSP
Contact information
Practice address
506 MAPLE ST, ATHENS, TN 37303-2938
(423) 746-2441
(423) 746-2442
Mailing address
PO BOX 564, ATHENS, TN 37371-0564
(423) 746-2441
(423) 746-2442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC1851
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506418
—
TN
Enumeration date
07/10/2006
Last updated
04/09/2012
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