person
Mrs. Nicole M Grant, MED,LPC
Mental Health Counselor in Tyler, Texas
NPI 1649613381

Nicole M Grant is a Mental Health Counselor based in Tyler, TX and is specialized in Mental Health. Nicole M Grant practices in Tyler, TX and has the professional credentials of MED,LPC. The NPI Number for Nicole M Grant is 1649613381 and holds a License No. 18777 (Texas).

The current practice location address for Nicole M Grant is 2624 Kensington Dr Ste 112, Tyler, TX and can be reached out via phone at 903-530-2290.

Location: 2624 Kensington Dr Ste 112, Tyler, TX, 75703-2734
person
Provider Profile Details
NPI Number
1649613381
Provider Name
Nicole M Grant
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
2624 Kensington Dr Ste 112, Tyler, TX, 75703-2734
Phone Number
903-530-2290
Fax Number
Provider Enumeration Date
04/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2624 Kensington Dr Ste 112
City
State
Zip
75703-2734
Phone Number
903-530-2290
Fax Number
person
Provider Business Mailing Address Details
Address
2624 Kensington Dr Ste 112
City
State
Zip
75703-2734
Phone Number
903-530-2290
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
18777 (Texas)
Definition
Definition to come...
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