Individual
JENNA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 OAK HARBOR BLVD, SLIDELL, LA 70458-8862
(985) 201-7038
Mailing address
1810 POLK DR NE, HUNTSVILLE, AL 35801-1771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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