Individual provider · Type 1 NPI

Jennifer Grant

Mental Health Counselor · San Bernardino, CA

NPI number 1689864241 Active

Practice location

2080 S E St
San Bernardino, CA 92408-2773

Call (909) 388-9191 Map

Fax (909) 388-9195

Mailing address

PO Box 2768
Fontana, CA 92334-2768

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XN3472135 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1689864241

Jennifer Grant's National Provider Identifier is 1689864241, issued on Jul 30, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Bernardino, CA. The record was last updated on Mar 12, 2014.