Gordon Antonelli Grant
Gordon Antonelli Grant is a Mental Health Counselor in Hayward, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
22262 S Garden Ave Apt 104Hayward, CA 94541-6025
Phone: (510) 978-9655
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1548388010 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 26, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 22262 S Garden Ave Apt 104, Hayward, CA 94541-6025 |
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