Individual provider · Type 1 NPI

Shane Owen Grant

Mental Health Counselor · Manchester, CT

NPI number 1043666779 Active

Practice location

91 Elm St Apt 312E
Manchester, CT 06040-8632

Call (860) 969-7147 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Manchester

See all in Manchester →

About NPI 1043666779

Shane Owen Grant's National Provider Identifier is 1043666779, issued on May 12, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manchester, CT. The record was last updated on May 12, 2016.