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

Raegan Elizabeth Grant

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174134647

Raegan Elizabeth Grant is a Student in an Organized Health Care Education/Training Program in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2020.

Licensed in
CO
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1942 Broadway Ste 314C
Boulder, CO 80302-5233
Phone: (720) 213-8142
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPCC.0019525 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174134647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2020
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

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