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Ms. Keronica Grant
Mental Health Counselor in Valley Stream, New York
NPI 1639803398

Keronica Grant is a Mental Health Counselor based in Valley Stream, NY and is specialized in Mental Health. Keronica Grant practices in Valley Stream, NY. The NPI Number for Keronica Grant is 1639803398 and holds a License No. (New York).

The current practice location address for Keronica Grant is 108 S Franklin Ave Ste 3, Valley Stream, NY and can be reached out via phone at 516-668-6774.

Location: 108 S Franklin Ave Ste 3, Valley Stream, NY, 11580-6105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639803398
Provider Name
Keronica Grant
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 S Franklin Ave Ste 3, Valley Stream, NY, 11580-6105
Phone Number
516-668-6774
Fax Number
Provider Enumeration Date
07/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 S Franklin Ave Ste 3
City
Valley Stream
State
New York
Zip
11580-6105
Phone Number
516-668-6774
Fax Number
person
Provider Business Mailing Address Details
Address
108 S Franklin Ave Ste 3
City
Valley Stream
State
New York
Zip
11580-6105
Phone Number
516-668-6774
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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