Individual
ARACELI GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, LMHC, LCAC
Contact information
Practice address
65 EMS C29 LN, WARSAW, IN 46582-9098
(317) 693-9817
(574) 267-2251
Mailing address
65 EMS C29 LN, WARSAW, IN 46582-9098
(317) 693-9817
(574) 267-2251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002444A
IN
Other
Enumeration date
08/09/2010
Last updated
02/14/2019
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