Individual provider · Type 1 NPI

Raegan Elizabeth Grant

Mental Health Counselor · Boulder, CO

NPI number 1174134647 Active

Practice location

1942 Broadway Ste 314C
Boulder, CO 80302-5233

Call (720) 213-8142 Map

Mailing address

60 S Boulder Cir Apt 6015
Boulder, CO 80303-4287

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XLPCC.0019525 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1174134647

Raegan Elizabeth Grant's National Provider Identifier is 1174134647, issued on Aug 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Aug 15, 2024.