Nakisha Lavon Grant
Nakisha Lavon Grant is a Mental Health Counselor in Lake Elsinore, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
31772 Casino Dr Ste A&bLake Elsinore, CA 92530-4502
Phone: (951) 674-9400
Fax: (951) 674-9486
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 98955 (CA) |
|---|
Record details
| NPI number | 1538711049 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 15, 2019 |
| Last updated in NPPES | July 15, 2019 |
| Mailing address | 31772 Casino Dr Ste A&B, Lake Elsinore, CA 92530-4502 |
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