Individual provider · Type 1 NPI

Wilease Carletta Grant, MASTER DEGREE IN REH

Mental Health Counselor · Greenville, SC

NPI number 1750483897 Active

Practice location

124 Mallard St
Greenville, SC 29601-4046

Fax (864) 241-1049

Mailing address

211 Arnold Drive
Anderson, SC 29621

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750483897

Wilease Carletta Grant, MASTER DEGREE IN REH's National Provider Identifier is 1750483897, issued on Sep 1, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenville, SC. The record was last updated on Jul 8, 2007.