Individual
TITANIA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
28 VALLEY RD STE 150, MONTCLAIR, NJ 07042-2709
(973) 226-2852
(973) 251-5967
Mailing address
34 MYRTLE AVE, IRVINGTON, NJ 07111-3310
(973) 226-2852
(973) 251-5967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00679600
NJ
101YP2500X
Professional Counselor
Primary
37PC00679600
NJ
Other
Enumeration date
09/04/2018
Last updated
02/09/2025
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