person
Nakisha Lavon Grant
Mental Health Counselor in Lake Elsinore, California
NPI 1538711049

Nakisha Lavon Grant is a Mental Health Counselor based in Lake Elsinore, CA and is specialized in Mental Health. Nakisha Lavon Grant practices in Lake Elsinore, CA. The NPI Number for Nakisha Lavon Grant is 1538711049 and holds a License No. 98955 (California).

The current practice location address for Nakisha Lavon Grant is 31772 Casino Dr Ste A&B, Lake Elsinore, CA and can be reached out via phone at 951-674-9400 and via fax at 951-674-9486.

Location: 31772 Casino Dr Ste A&B, Lake Elsinore, CA, 92530-4502
person
Provider Profile Details
NPI Number
1538711049
Provider Name
Nakisha Lavon Grant
Credential
Provider Entity Type
Individual
Gender
Female
Address
31772 Casino Dr Ste A&B, Lake Elsinore, CA, 92530-4502
Phone Number
951-674-9400
Fax Number
951-674-9486
Provider Enumeration Date
07/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31772 Casino Dr Ste A&B
City
State
Zip
92530-4502
Phone Number
951-674-9400
Fax Number
951-674-9486
person
Provider Business Mailing Address Details
Address
31772 Casino Dr Ste A&B
City
State
Zip
92530-4502
Phone Number
951-674-9400
Fax Number
951-674-9486
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
98955 (California)
Definition
Definition to come...
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