Individual provider · Type 1 NPI
Mae Marie Grant, LPC, NCC
Professional Counselor · Austin, TX
NPI number
1194460485
Active
Practice location
8717 White Ibis Dr
Austin, TX 78729-8077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | 1700516 (TX) |
| Professional Counselor Primary | 101YP2500X | 82430 (TX) |
Professional Counselor: Definition to come...
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About NPI 1194460485
Mae Marie Grant, LPC, NCC's National Provider Identifier is 1194460485, issued on May 1, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on May 1, 2022.