Individual provider · Type 1 NPI

Carroll Grant, PhD

Mental Health Counselor · Syracuse, NY

NPI number 1558633883 Active

Practice location

215 Bassett St
Syracuse, NY 13210-2113

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X002644-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1558633883

Carroll Grant, PhD's National Provider Identifier is 1558633883, issued on Feb 2, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Syracuse, NY. The record was last updated on Feb 2, 2012.