Search › Kentucky › 1041C0700X
Charles Granholm, LCSW
NPI 1619953213 · on the registry since 2005
Practice
- Address
- 200 Brule St Bldg Ireland
Fort Knox, KY 40121 - Phone
- (502) 626-9885
- Clinicians at this address
- 67
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky