Mark Granda
Mark Granda is a Mental Health Counselor in San Antonio, Texas. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Texas.
- Years since qualifying
- 1
- Licensed in
- TX
- In the registry since
- 2026
Practice location Address checks out
12640 Corona BorealisSan Antonio, TX 78245-4861
Phone: (830) 225-1622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 17557 (TX) |
|---|
Record details
| NPI number | 1366374563 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 1, 2026 |
| Last updated in NPPES | June 29, 2026 |
| Certification date | June 29, 2026 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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