Individual
ALISON GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3061 S MERIDIAN RD STE 100, MERIDIAN, ID 83642-7962
(208) 620-5399
Mailing address
692 E OBSERVATION DR, MERIDIAN, ID 83642-4652
(208) 514-7168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ID
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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