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Stacey M Grant
Mental Health Counselor in Jacksonville, Florida
NPI 1184278749

Stacey M Grant is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Stacey M Grant practices in Jacksonville, FL. The NPI Number for Stacey M Grant is 1184278749 and holds a License No. (Florida).

The current practice location address for Stacey M Grant is 555 Stockton St, Jacksonville, FL and can be reached out via phone at 904-387-4661.

Location: 555 Stockton St, Jacksonville, FL, 32204-2534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184278749
Provider Name
Stacey M Grant
Credential
Provider Entity Type
Individual
Gender
Female
Address
555 Stockton St, Jacksonville, FL, 32204-2534
Phone Number
904-387-4661
Fax Number
Provider Enumeration Date
07/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
555 Stockton St
City
Jacksonville
State
Florida
Zip
32204-2534
Phone Number
904-387-4661
Fax Number
person
Provider Business Mailing Address Details
Address
555 Stockton St
City
Jacksonville
State
Florida
Zip
32204-2534
Phone Number
904-387-4661
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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