Individual provider · Type 1 NPI

Teiara Grant

Mental Health Counselor · Chicago, IL

NPI number 1265201842 Active

Practice location

11848 S Western Ave
Chicago, IL 60643-4734

Mailing address

6613 S Normal Blvd
Chicago, IL 60621-2531

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178017867 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1265201842

Teiara Grant's National Provider Identifier is 1265201842, issued on Dec 25, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Dec 25, 2023.