Individual
WANDA LYNN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
28972 HWY 43, ALBANY, LA 70711
(225) 567-6886
(225) 567-6828
Mailing address
28972 HWY 43, ALBANY, LA 70711
(225) 567-6886
(225) 567-6828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3987
LA
101YP2500X
Professional Counselor
Primary
3987
LA
Other
Enumeration date
04/27/2010
Last updated
03/23/2011
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