Individual provider · Type 1 NPI

Mary Grant, LPC

Professional Counselor · Manteno, IL

NPI number 1689144420 Active

Practice location

411 W Division St
Manteno, IL 60950-1065

Call (815) 432-5241 Map

Mailing address

PO Box 322
Watseka, IL 60970-0322

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178008312 (IL)

Professional Counselor: Definition to come...

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About NPI 1689144420

Mary Grant, LPC's National Provider Identifier is 1689144420, issued on Dec 4, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Manteno, IL. The record was last updated on Dec 4, 2018.