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Grant Boatwright, LPC-A
Professional Counselor in Pantego, Texas
NPI 1417725268

Grant Boatwright is a Professional Counselor based in Pantego, TX and is specialized in Professional. Grant Boatwright practices in Pantego, TX and has the professional credentials of LPC-A. The NPI Number for Grant Boatwright is 1417725268 and holds a License No. 93448 (Texas).

The current practice location address for Grant Boatwright is 3613 W Pioneer Pkwy Ste A, Pantego, TX and can be reached out via phone at 817-646-6823.

Location: 3613 W Pioneer Pkwy Ste A, Pantego, TX, 76013-4517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417725268
Provider Name
Grant Boatwright
Credential
LPC-A
Provider Entity Type
Individual
Gender
Male
Address
3613 W Pioneer Pkwy Ste A, Pantego, TX, 76013-4517
Phone Number
817-646-6823
Fax Number
Provider Enumeration Date
12/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3613 W Pioneer Pkwy Ste A
City
Pantego
State
Texas
Zip
76013-4517
Phone Number
817-646-6823
Fax Number
person
Provider Business Mailing Address Details
Address
3613 W Pioneer Pkwy Ste A
City
Pantego
State
Texas
Zip
76013-4517
Phone Number
817-646-6823
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
93448 (Texas)
Definition
Definition to come...
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