Individual provider · Type 1 NPI

Callie Grantham, LPC, LAC

Professional Counselor · Kansas City, KS

NPI number 1063924140 Active

Practice location

3901 Rainbow Blvd
Kansas City, KS 66160-8500

Fax (913) 588-8757

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X2012032164 (MO)
Professional Counselor Primary 101YP2500X2507 (KS)

Professional Counselor: Definition to come...

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About NPI 1063924140

Callie Grantham, LPC, LAC's National Provider Identifier is 1063924140, issued on Oct 30, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kansas City, KS. The record was last updated on Oct 30, 2017.