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MRS. PHYLLIS LORRAINE GRANT LMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1083849129

Individual Registrant:
MRS. PHYLLIS LORRAINE GRANT LMHC
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

Contact information for business:
6228 OLD SCHOOL RD.  WELLPINIT, WA 99040 US
Tel: 509-258-7502  Fax: 509-258-7029

Registration Information:
NPI: 1083849129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
WALH00004949

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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