Individual
TRACY J GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
333 PERRY ST STE 206C, CASTLE ROCK, CO 80104-2434
(720) 460-1492
Mailing address
333 PERRY ST STE 206C, CASTLE ROCK, CO 80104-2434
(720) 460-1492
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT.0001421
CO
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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