Individual provider · Type 1 NPI

Miranda Grant

Mental Health Counselor · Canon City, CO

NPI number 1487560728 Active

Practice location

107 S 9th St
Canon City, CO 81212-3800

Mailing address

127 D St, Mailbox 1/4
Salida, CO 81201-2838

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487560728

Miranda Grant's National Provider Identifier is 1487560728, issued on Aug 19, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canon City, CO. The record was last updated on Aug 19, 2026.