Individual provider · Type 1 NPI

Jeff Clinton Grant, CDPT

Addiction (Substance Use Disorder) Counselor · Shelton, WA

NPI number 1265089973 Active · reactivated Sep 28, 2023

Practice location

235 S 3rd St
Shelton, WA 98584-2255

Mailing address

1632 Cyrene Dr NW
Olympia, WA 98502-3008

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60944500 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265089973

Jeff Clinton Grant, CDPT's National Provider Identifier is 1265089973, issued on Aug 19, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shelton, WA. The record was last updated on Sep 28, 2023.