Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
Y | 101YM0800X | Mental Health Counselor | 008379 | NY |
NPI | 1003222456 |
---|---|
Provider Name | Kady-Ann Grant |
First Address | Harrison, NY 10528-3607 |
Second Address | Harrison, NY 10528-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2014 |
Last Update Date | 16/11/2021 |