Individual
DIANNA GRANTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LCPC
Contact information
Practice address
2475 VILLAGE LN STE 101, BILLINGS, MT 59102-2497
(406) 927-6119
Mailing address
PO BOX 30864, BILLINGS, MT 59107-0864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0100919564120
MT
101YP2500X
Professional Counselor
Primary
25244
MT
Other
Enumeration date
08/21/2014
Last updated
08/29/2017
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