| Doctor Name: | LAUREL GRANGER |
| NPI Number: | 1013301456 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.M.H.C |
| License Number: | LH 60441308 |
| Business Practice Address: | 1900 S Puget Dr Suite 205 Renton, WA - 980554421 |
| Business Phone Number: | 4257361604 |
| Business Fax Number: | |
| Mailing Address: | 1900 S Puget Dr, Suite 205 RENTON |
| State: | WA |
| Postal Code: | 980554421 |
| Phone Number: | 4257361604 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2015 |
| NPI Last Update Date: | 05/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH 60441308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |