Individual
MR. DANIEL GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1002 HIGHLAND AVE, STE 300, SHREVEPORT, LA 71101-4143
(318) 222-6226
(318) 221-8526
Mailing address
510 E STONER AVE STE 300, SHREVEPORT, LA 71101-4243
(318) 990-2317
(318) 221-8526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3079
LA
Other
Enumeration date
06/30/2006
Last updated
12/20/2023
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