NPI 1902149115

Katie Grant

Organisation Professional Counselor Rock Island, IL

Practice location

Address: 1800 3rd Ave Suite 612, Rock Island, IL 61201-8026
Phone: (563) 676-6136
Fax: (815) 377-2599
Mailing address: 528 W 30th St, Davenport, IA 52803-1016

Authorised official

Name: Katie Grant
Title: Owner
Phone: (563) 676-6136

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 180.007951 (IL)

Other Counselor providers in Illinois →

Registry record

NPI: 1902149115
Entity type: Organization
NPI issued: 5 Apr 2013
Record last updated: 5 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.