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MRS. PHYLLIS LORRAINE GRANT LMHC
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1083849129
Individual Registrant:MRS. PHYLLIS LORRAINE GRANT LMHC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
6228 OLD SCHOOL RD. WELLPINIT, WA 99040 US
Tel: 509-258-7502 Fax: 509-258-7029
Tel: 509-258-7502 Fax: 509-258-7029
Contact information for business:
6228 OLD SCHOOL RD. WELLPINIT, WA 99040 US
Tel: 509-258-7502 Fax: 509-258-7029
Tel: 509-258-7502 Fax: 509-258-7029
Registration Information:
NPI: 1083849129
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | WA | LH00004949 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
