Individual
MARIAN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
110 HELM ST, ELIZABETHTOWN, KY 42701-1496
(270) 506-2967
(270) 900-1674
Mailing address
827 JOE TOM GRANT RD, GLENS FORK, KY 42741-7823
(270) 378-1782
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
251210
KY
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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