person
Anisa D Grantham, LPC,NCAC
Professional Counselor in Rincon, Georgia
NPI 1619014255

Anisa D Grantham is a Professional Counselor based in Rincon, GA and is specialized in Professional. Anisa D Grantham practices in Rincon, GA and has the professional credentials of LPC,NCAC. The NPI Number for Anisa D Grantham is 1619014255 and holds a License No. (Georgia).

The current practice location address for Anisa D Grantham is 613 Towne Park Dr W Ste 103, Rincon, GA and can be reached out via phone at 912-826-0918 and via fax at 912-826-0959.

Location: 613 Towne Park Dr W Ste 103, Rincon, GA, 31326-9098
person
Provider Profile Details
NPI Number
1619014255
Provider Name
Anisa D Grantham
Credential
LPC,NCAC
Provider Entity Type
Individual
Gender
Female
Address
613 Towne Park Dr W Ste 103, Rincon, GA, 31326-9098
Phone Number
912-826-0918
Fax Number
912-826-0959
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
613 Towne Park Dr W Ste 103
City
State
Zip
31326-9098
Phone Number
912-826-0918
Fax Number
912-826-0959
person
Provider Business Mailing Address Details
Address
613 Towne Park Dr W Ste 103
City
State
Zip
31326-9098
Phone Number
912-826-0918
Fax Number
912-826-0959
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
004189 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Georgia)
Definition
Definition to come...
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