Mr Shane Owen Grant, | |
91 Elm St Apt 312e, Manchester, CT 06040-8632 | |
(860) 969-7147 | |
Not Available |
Full Name | Mr Shane Owen Grant |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 91 Elm St Apt 312e, Manchester, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043666779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Shane Owen Grant, 91 Elm St Apt 312e, Manchester, CT 06040-8632 Ph: (860) 969-7147 | Mr Shane Owen Grant, 91 Elm St Apt 312e, Manchester, CT 06040-8632 Ph: (860) 969-7147 |
Sarah Zwarick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 587 E Middle Tpke, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Ms. Karen Franes Foley-schain, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Redwood Rd, Manchester, CT 06040 Phone: 860-508-0332 | |
Krista Nordmark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 587 E Middle Tpke, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Sylvester Esangbedo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Elsa Reyes, Counselor Medicare: Medicare Enrolled Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132 | |
Aliya E Jasensky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 | |
Lynda Dyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 |