James E Grant CASAC

NPI 1063728608 - Counselor - 101YA0400X

NPI Details
NPI 1063728608
Gender Male
Enumeration Date 08/20/2010
Last Updated 08/20/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
40 MAIN ST
WESTHAMPTON BEACH NY, 11978-2673, US
Phone (631) 288-1955
Fax
Business Location
19 EVY CT
SAYVILLE NY, 11782, US
Phone (631) 512-3642
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State New York
License Number 17564
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According to our database, Mr. James E Grant CASAC NPI is 1063728608, taxonomy code is 101YA0400X and license number is 17564, license state is located at New York. James E Grant CASAC physically located at 40 Main St, Westhampton Beach NY, 11978-2673. NPI Number James E Grant CASAC has the Individual type.

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1063728608 NPI number is provided on an as is basis without warranty of any kind. 1063728608 is maintained by the National Plan & Provider Enumeration System. The contents of James E Grant CASAC are for informational purposes only.