Individual provider · Type 1 NPI

Jacqueline Yvonne Grant, LGPC

Mental Health Counselor · Suitland, MD

NPI number 1174314959 Active

Practice location

5563 Lanier Ave
Suitland, MD 20746-6218

Call (434) 426-6494 Map

Fax (434) 426-6494

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLGP15015 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1174314959

Jacqueline Yvonne Grant, LGPC's National Provider Identifier is 1174314959, issued on May 13, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Suitland, MD. The record was last updated on May 13, 2025.