Jaxon Marcel Grandchamp, SUDRC
Jaxon Marcel Grandchamp, SUDRC is an Addiction (Substance Use Disorder) Counselor in Sacramento, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
2100 Capitol AveSacramento, CA 95816-5721
Phone: (916) 442-4985
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 12856 (CA) |
|---|
Record details
| NPI number | 1972383792 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SUDRC |
| Sole proprietor | No |
| NPI enumerated | September 29, 2023 |
| Last updated in NPPES | September 29, 2023 |
| Certification date | September 29, 2023 |
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