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Quinisa Grant
Counselor in Glen Carbon, Illinois
NPI 1881238822

Quinisa Grant is a Counselor based in Glen Carbon, IL. Quinisa Grant practices in Glen Carbon, IL. The NPI Number for Quinisa Grant is 1881238822 and holds a License No. 270000248 (Illinois).

The current practice location address for Quinisa Grant is 88 S Main St Ste 2, Glen Carbon, IL and can be reached out via phone at 618-288-8085 and via fax at 618-288-8959.

Location: 88 S Main St Ste 2, Glen Carbon, IL, 62034-0639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881238822
Provider Name
Quinisa Grant
Credential
Provider Entity Type
Individual
Gender
Female
Address
88 S Main St Ste 2, Glen Carbon, IL, 62034-0639
Phone Number
618-288-8085
Fax Number
618-288-8959
Provider Enumeration Date
11/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4A00-IPI-032 05 IL
institution
Provider Business Practice Location Address Details
Address
88 S Main St Ste 2
City
Glen Carbon
State
Illinois
Zip
62034-1415
Phone Number
618-288-8085
Fax Number
618-288-8959
person
Provider Business Mailing Address Details
Address
88 S Main St Ste 2
City
Glen Carbon
State
Illinois
Zip
62034-1415
Phone Number
618-288-8085
Fax Number
618-288-8959
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
270000248 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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