Individual
KATIE L GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC, LMHC, LPC
Contact information
Practice address
430 W 35TH ST STE 8, DAVENPORT, IA 52806-5820
(563) 676-6136
(855) 965-2636
Mailing address
430 W 35TH ST STE 8, DAVENPORT, IA 52806-5820
(563) 676-6136
(855) 965-2636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180.007951
IL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180.007951
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538288212
—
IA
Enumeration date
03/27/2007
Last updated
10/05/2025
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