Mr. Shane Owen Grant
Mr. Shane Owen Grant is a Mental Health Counselor in Manchester, Connecticut. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
91 Elm St Apt 312EManchester, CT 06040-8632
Phone: (860) 969-7147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1043666779 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 12, 2016 |
| Last updated in NPPES | May 12, 2016 |
| Mailing address | 91 Elm St Apt 312e, Manchester, CT 06040-8632 |
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