person
Rachel Grantham, LADC
Addiction (Substance Use Disorder) Counselor in Prior Lake, Minnesota
NPI 1043591506

Rachel Grantham is an Addiction (Substance Use Disorder) Counselor based in Prior Lake, MN and is specialized in Addiction (Substance Use Disorder). Rachel Grantham practices in Prior Lake, MN and has the professional credentials of LADC. The NPI Number for Rachel Grantham is 1043591506 and holds a License No. 301722 (Minnesota).

The current practice location address for Rachel Grantham is 2330 Sioux Trl Nw, Prior Lake, MN and can be reached out via phone at 952-496-6164.

Location: 2330 Sioux Trl Nw, Prior Lake, MN, 55372-9077
person
Provider Profile Details
NPI Number
1043591506
Provider Name
Rachel Grantham
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
2330 Sioux Trl Nw, Prior Lake, MN, 55372-9077
Phone Number
952-496-6164
Fax Number
Provider Enumeration Date
08/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
301722 01 MN LADC LIC
institution
Provider Business Practice Location Address Details
Address
2330 Sioux Trl Nw
City
State
Zip
55372-9077
Phone Number
952-496-6164
Fax Number
person
Provider Business Mailing Address Details
Address
2330 Sioux Trl Nw
City
State
Zip
55372-9077
Phone Number
952-496-6164
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
301722 (Minnesota)
Definition
Definition to come...
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