Individual provider · Type 1 NPI
Elaine Grant, LADAC
Addiction (Substance Use Disorder) Counselor · Brookport, IL
NPI number
1538554332
Active
Practice location
152 S Hamletsburg Rd
Brookport, IL 62910-2961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LADAC (TN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1538554332
Elaine Grant, LADAC's National Provider Identifier is 1538554332, issued on Mar 30, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brookport, IL. The record was last updated on Mar 30, 2015.