Individual
MR. JOSEPH BRUCE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.C., L.P.C.
Contact information
Practice address
1232 E BROADWAY RD STE 120, TEMPE, AZ 85282-1510
(480) 784-1514
(480) 967-3528
Mailing address
98 E MACAW CT, QUEEN CREEK, AZ 85243-3993
(480) 888-2053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10457
AZ
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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