RAEGAN GRANT
Counselor - Mental Health
Active
Individual
NPI: 1174134647
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Counselor - Mental Health | 101YM0800X | Yes | LPCC.0019525 (CO) |
Frequently Asked Questions
NPI 1174134647 is the National Provider Identifier for RAEGAN GRANT, a Counselor - Mental Health provider located in Boulder, CO. This NPI was enumerated on August 10, 2020.
RAEGAN GRANT practices at 1942 BROADWAY STE 314C, Boulder, CO 80302.
Quick Facts
- NPI
- 1174134647
- Type
- Individual
- Enumerated
- Aug 10, 2020
- Last Updated
- Aug 15, 2024
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