Individual provider · Type 1 NPI

Nova Ray Grant, BA

Counselor · Longview, WA

NPI number 1285111765 Active

Practice location

748 14th Ave
Longview, WA 98632-2315

Call (360) 200-5419 Map

Fax (360) 200-6736

Mailing address

PO Box 2394
Longview, WA 98632

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG60886301 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1285111765

Nova Ray Grant, BA's National Provider Identifier is 1285111765, issued on Jul 26, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Longview, WA. The record was last updated on Oct 30, 2020.