Shelly Grantham
Shelly Grantham is a Mental Health Counselor in Madras, Oregon. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
125 SW C StMadras, OR 97741
Phone: (541) 475-6575
Fax: (541) 475-6196
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1639460157 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 2, 2011 |
| Last updated in NPPES | May 2, 2011 |
| Mailing address | 125 Sw C St, Madras, OR 97741 |
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