Individual provider · Type 1 NPI

Keri Innis-Grant, MSW PENDING

Professional Counselor · Worcester, MA

NPI number 1154800290 Active

Practice location

108 Grove Street, Ste LL11
Worcester, MA 01605

Call (508) 304-7499 Map

Fax (774) 420-7255

Mailing address

108 Grove St Ste LL11
Worcester, MA 01605-2677

Other practice locations

  • 108 Grove St Ste LL11, Worcester, MA 01605-2677 · (508) 304-7499

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X193200000X (MA)

Professional Counselor: Definition to come...

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About NPI 1154800290

Keri Innis-Grant, MSW PENDING's National Provider Identifier is 1154800290, issued on Aug 9, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Worcester, MA. The record was last updated on Aug 9, 2018.