Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elissa Kaelynn Grant, PEERSUPPORTSPECIAL

Individual provider Peer Specialist · NPI 1275406043

Elissa Kaelynn Grant, PEERSUPPORTSPECIAL is a Peer Specialist in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

3754 W Indian Trail Rd
Spokane, WA 99208-4736
Phone: (509) 559-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence CG70017126 (WA)

Record details

NPI number1275406043
Entity typeIndividual (Type 1)
GenderFemale
Credentials PEERSUPPORTSPECIAL
Sole proprietorNo
NPI enumeratedSeptember 26, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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