Doctor Name: | DR. PATRICIA LOUISE GRANT |
NPI Number: | 1134451347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | LH60391478 |
Business Practice Address: | 141 Oak Bay Rd Port Hadlock, WA - 983398718 |
Business Phone Number: | 3603795470 |
Business Fax Number: | |
Mailing Address: | 1240 W Sims Way, 141 PORT TOWNSEND |
State: | WA |
Postal Code: | 983683058 |
Phone Number: | 3603795470 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2010 |
NPI Last Update Date: | 06/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH60391478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |