Individual provider · Type 1 NPI

Gary Grant, M. ED

Mental Health Counselor · Everett, WA

NPI number 1104143890 Active

Practice location

4526 Federal Ave # Ms 11
Everett, WA 98203-2132

Mailing address

3830 S Cushman St
Fairbanks, AK 99701-7530

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XLH60198446 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1104143890

Gary Grant, M. ED's National Provider Identifier is 1104143890, issued on Apr 21, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Everett, WA. The record was last updated on Feb 2, 2024.