Individual
GRANT PHILLIP HINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC, QMHP-A, RPRS
Contact information
Practice address
148 REHOBOTH LN NE, FLOYD, VA 24091-1130
(540) 745-4001
(540) 858-1913
Mailing address
355 OVERLAND DR, CHRISTIANSBURG, VA 24073-4715
(540) 392-2110
(540) 858-1913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103449
VA
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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