Anisa D Grantham, LPC, NCAC

NPI #1619014255 in Rincon, Georgia

Provider Information

NPI Number
1619014255
Entity Type
Individual
Name
Anisa D Grantham, LPC, NCAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC, NCAC
Enumeration Date
Jan 31, 2007
Last Updated
Jul 14, 2015

Practice Location

Address
613 TOWNE PARK DR W STE 103
City
Rincon
State
Georgia
ZIP Code
31326-9098
Phone
(912) 826-0918

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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