Individual
MRS. MERINDAR J GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LBSW & CAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00170
MI
101YM0800X
Mental Health Counselor
6401009752
MI
101YP2500X
Professional Counselor
Primary
6401009752
MI
104100000X
Social Worker
6802085439
MI
Other
Enumeration date
10/04/2007
Last updated
10/19/2011
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