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Mr. Dewayne C Grant
Addiction (Substance Use Disorder) Counselor in Jonesboro, Georgia
NPI 1437582723

Dewayne C Grant is an Addiction (Substance Use Disorder) Counselor based in Mcdonough, GA and is specialized in Addiction (Substance Use Disorder). Dewayne C Grant practices in Jonesboro, GA. The NPI Number for Dewayne C Grant is 1437582723 and holds a License No. LPC006829 (Georgia).

The current practice location address for Dewayne C Grant is 124 S Main St, Jonesboro, GA and can be reached out via phone at 678-215-8705 and via fax at 770-898-4385.

Location: 124 S Main St, Jonesboro, GA, 30253-8382
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437582723
Provider Name
Dewayne C Grant
Credential
Provider Entity Type
Individual
Gender
Male
Address
124 S Main St, Jonesboro, GA, 30253-8382
Phone Number
678-215-8705
Fax Number
770-898-4385
Provider Enumeration Date
08/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003160809A 05 GA
003152990A 05 GA
institution
Provider Business Practice Location Address Details
Address
124 S Main St
City
Jonesboro
State
Georgia
Zip
30236-3599
Phone Number
678-215-8705
Fax Number
770-898-4385
person
Provider Business Mailing Address Details
Address
124 S Main St
City
Jonesboro
State
Georgia
Zip
30236-3599
Phone Number
678-215-8705
Fax Number
770-898-4385
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LPC 006829 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC 006829 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
LPC006829 (Georgia)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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