Rachel Grantham, LADC
NPI #1043591506 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1043591506
- Entity Type
- Individual
- Name
- Rachel Grantham, LADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC
- Enumeration Date
- Aug 29, 2011
- Last Updated
- Aug 29, 2011
Practice Location
- Address
- 2330 SIOUX TRL NW
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-9077
- Phone
- (952) 496-6164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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