Individual provider · Type 1 NPI

Colleen Mica Grant, LPCC

Professional Counselor · San Leandro, CA

NPI number 1649939315 Active

Practice location

2251 Bancroft Ave
San Leandro, CA 94578

Call (510) 844-6752 Map

Mailing address

PO Box 2701
Oakland, CA 94602-0001

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program 390200000XAPCC10864 (CA)
Professional Counselor Primary 101YP2500X18083 (CA)

Professional Counselor: Definition to come...

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About NPI 1649939315

Colleen Mica Grant, LPCC's National Provider Identifier is 1649939315, issued on Dec 10, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Leandro, CA. The record was last updated on Apr 3, 2025.