Individual provider · Type 1 NPI
Connie Ann Grand, LICENSED PROFESSIONA
Professional Counselor · Ava, MO
NPI number
1841490323
Active
Practice location
202-1 NW 11th St
Ava, MO 65608-9731
Fax (417) 683-4505
Mailing address
Route 1, Box 408
Ava, MO 65608-9731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2002032332 (MO) |
Professional Counselor: Definition to come...
Other professional counselor providers in Ava
About NPI 1841490323
Connie Ann Grand, LICENSED PROFESSIONA's National Provider Identifier is 1841490323, issued on Jul 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ava, MO. The record was last updated on Jul 23, 2007.