Individual provider · Type 1 NPI

Maurice Grant

Mental Health Counselor · Ardmore, OK

NPI number 1477814556 Active

Practice location

1311 Shenandoah Dr
Ardmore, OK 73401-1203

Call (580) 222-6416 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477814556

Maurice Grant's National Provider Identifier is 1477814556, issued on Jun 5, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ardmore, OK. The record was last updated on Jun 5, 2012.