Individual
MOYA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LAPC
Contact information
Practice address
11201 JEFFERSON CIR N, ATLANTA, GA 30341-2690
(678) 487-9763
Mailing address
3675 MARKETPLACE BLVD # 1173, EAST POINT, GA 30344-5730
(678) 487-9763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC014371
GA
Other
Enumeration date
03/08/2023
Last updated
01/16/2025
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