Organization
VALERIE GRANT LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE GRANT (SOLE MBR)
(303) 818-0912
Entity
Organization
Contact information
Practice address
3447 IRIS CT, BOULDER, CO 80304-1827
(303) 818-0912
Mailing address
2975 VALMONT RD, SUITE 300, BOULDER, CO 80301-1361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC 11354
CO
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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