Katie Grant

NPI #1902149115 in Rock Island, Illinois

Provider Information

NPI Number
1902149115
Entity Type
Organization
Organization Name
Katie Grant
Primary Specialty
Counselor - Professional
Enumeration Date
Apr 5, 2013
Last Updated
Apr 5, 2013

Practice Location

Address
1800 3RD AVE
Address 2
SUITE 612
ZIP Code
61201-8026
Phone
(563) 676-6136

Authorized Official

Name
KATIE GRANT, MS, LCPC
Title
OWNER
Phone
(563) 676-6136

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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