COLLEEN MICA GRANT

SAN LEANDRO, CA
NPI1649939315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CA  18083)
Additional Taxonomies101YM0800X Counselor, Mental Health
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  APCC10864)
Enumeration Date2021-12-10
Last Update Date2025-04-03
Business Address
COLLEEN MICA GRANT LPCC
2251 BANCROFT AVE
SAN LEANDRO, CA 94578
Phone number: 510-844-6752
Mailing Address
COLLEEN MICA GRANT LPCC
PO BOX 2701
OAKLAND, CA 94602-0001
Phone number: