ANISA GRANTHAM, LPC, NCAC

Counselor - Professional

Active Individual
NPI: 1619014255

Practice Address

613 TOWNE PARK DR W STE 103
Rincon, GA 31326

Phone: (912) 826-0918

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Counselor - Professional 101YP2500X Yes 004189 (GA)

Frequently Asked Questions

NPI 1619014255 is the National Provider Identifier for ANISA GRANTHAM, LPC, NCAC, a Counselor - Professional provider located in Rincon, GA. This NPI was enumerated on January 31, 2007.
ANISA GRANTHAM, LPC, NCAC practices at 613 TOWNE PARK DR W STE 103, Rincon, GA 31326.

Quick Facts

NPI
1619014255
Type
Individual
Enumerated
Jan 31, 2007
Last Updated
Jul 14, 2015

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