Individual provider · Type 1 NPI
Susan E. Grant, L.C.S.W.
Mental Health Counselor · Salt Lake City, UT
NPI number
1992832844
Active
Practice location
501 Chipeta Way
Salt Lake City, UT 84108-1222
Fax (801) 587-3341
Mailing address
1545 S 1400 E
Salt Lake City, UT 84105-2638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 138517-3501 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1992832844
Susan E. Grant, L.C.S.W.'s National Provider Identifier is 1992832844, issued on Feb 27, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.