Individual
HERBERT A GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSE COUNSELOR
Contact information
Practice address
29 N 4TH ST, EMMAUS, PA 18049-2745
(610) 421-8900
Mailing address
1532 W GLENWOOD AVE, PHILADELPHIA, PA 19132-2209
(267) 977-4375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007340
PA
Other
Enumeration date
08/20/2016
Last updated
02/25/2017
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