Individual
TAREZE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
733 2ND AVENUE, KOTZEBUE, AK 99752-0256
(907) 442-7640
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
(907) 442-7640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/04/2025
Last updated
08/06/2025
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