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Amy Grant
Addiction (Substance Use Disorder) Counselor in Shelton, Connecticut
NPI 1306568431

Amy Grant is an Addiction (Substance Use Disorder) Counselor based in Shelton, CT and is specialized in Addiction (Substance Use Disorder). Amy Grant practices in Shelton, CT. The NPI Number for Amy Grant is 1306568431 and holds a License No. 001465 (Connecticut).

The current practice location address for Amy Grant is 22 John Dominick Dr, Shelton, CT and can be reached out via phone at 203-556-1438.

Location: 22 John Dominick Dr, Shelton, CT, 06484-5322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306568431
Provider Name
Amy Grant
Credential
Provider Entity Type
Individual
Gender
Female
Address
22 John Dominick Dr, Shelton, CT, 06484-5322
Phone Number
203-556-1438
Fax Number
Provider Enumeration Date
09/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22 John Dominick Dr
City
Shelton
State
Connecticut
Zip
06484-5322
Phone Number
203-556-1438
Fax Number
person
Provider Business Mailing Address Details
Address
22 John Dominick Dr
City
Shelton
State
Connecticut
Zip
06484-5322
Phone Number
203-556-1438
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.
001465 (Connecticut)
Definition
Definition to come...
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