Grant Boatwright, LPC-A

NPI #1417725268 in Pantego, Texas

Provider Information

NPI Number
1417725268
Entity Type
Individual
Name
Grant Boatwright, LPC-A
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC-A
Enumeration Date
Dec 12, 2023
Last Updated
Dec 12, 2023

Practice Location

Address
3613 W PIONEER PKWY STE A
State
Texas
ZIP Code
76013-4517
Phone
(817) 646-6823

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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