Individual provider · Type 1 NPI

Destiny Grant

Mental Health Counselor · Windsor, CT

NPI number 1023409570 Active

Practice location

995 Day Hill Rd
Windsor, CT 06095-1722

Fax (860) 731-5536

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1023409570

Destiny Grant's National Provider Identifier is 1023409570, issued on Feb 5, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Windsor, CT. The record was last updated on Feb 5, 2015.