Individual provider · Type 1 NPI
Allie Grantham, MHR, LPC, CADC
Counselor · Tahlequah, OK
NPI number
1447388178
Active
Practice location
529 N Oak Ave
Tahlequah, OK 74464
Fax (918) 458-2300
Mailing address
31824 E 720 Rd
Wagoner, OK 74467-7374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Counselor Primary | 101Y00000X | 6374 (OK) |
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 1447388178
Allie Grantham, MHR, LPC, CADC's National Provider Identifier is 1447388178, issued on Mar 2, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tahlequah, OK. The record was last updated on Oct 16, 2019.