| Grant B Counseling & Consultation, Llc | |
|
702 Wildlife Ln Columbia SC 29209-3464 | |
| (803) 602-4939 | |
| Not Available |
| Full Name | Grant B Counseling & Consultation, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 702 Wildlife Ln, Columbia, South Carolina |
| Authorized Official Name and Position | Shandrea Houser (DIRECTOR) |
| Authorized Official Contact | 8036024939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant B Counseling & Consultation, Llc Po Box 2588 Irmo SC 29063-4002 Ph: (803) 602-4939 | Grant B Counseling & Consultation, Llc 702 Wildlife Ln Columbia SC 29209-3464 Ph: (803) 602-4939 |
| NPI Number | 1083223671 |
|---|---|
| Provider Enumeration Date | 07/29/2020 |
| Last Update Date | 07/29/2020 |
| Certification Date | 07/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083223671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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