Individual
GALE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
2217 PARK AVE, PEARLAND, TX 77581-4216
(281) 997-8400
(281) 997-8408
Mailing address
2217 PARK AVE, PEARLAND, TX 77581-4216
(281) 997-8400
(281) 997-8408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15072
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0959025-02
—
TX
Enumeration date
07/12/2006
Last updated
12/18/2012
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