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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELAINE GRANT, LADAC

Active Sole Proprietor

ELAINE GRANT, LADAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BROOKPORT, Illinois. NPI 1538554332 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · BROOKPORT, IL

Registration Details

NPI Number
1538554332
Provider Type
Individual
Gender
Female
NPI Issued
Mar 30, 2015 (11.367978916519 yrs)
Last Updated
Mar 30, 2015
License
LADAC (TN)
Sole Proprietor
Yes

Practice Information

Address
152 S HAMLETSBURG RD
BROOKPORT, IL, 629102961
Browse IL providers · Browse ZIP 62910
Phone
6159678978
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.