person
Mary Grant, LPC
Professional Counselor in Manteno, Illinois
NPI 1689144420

Mary Grant is a Professional Counselor based in Watseka, IL and is specialized in Professional. Mary Grant practices in Manteno, IL and has the professional credentials of LPC. The NPI Number for Mary Grant is 1689144420 and holds a License No. 178008312 (Illinois).

The current practice location address for Mary Grant is 411 W Division St, Manteno, IL and can be reached out via phone at 815-432-5241. You can also correspond with Mary Grant through the mailing address at PO BOX 322, WATSEKA, IL - 60970-0322 (mailing address contact number: ).

Location: 411 W Division St, Manteno, IL, 60970-0322
person
Provider Profile Details
NPI Number
1689144420
Provider Name
Mary Grant
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
411 W Division St, Manteno, IL, 60970-0322
Phone Number
815-432-5241
Fax Number
Provider Enumeration Date
12/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
411 W Division St
City
State
Zip
60950-1065
Phone Number
815-432-5241
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 322
City
State
Zip
60970-0322
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178008312 (Illinois)
Definition
Definition to come...
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