Matthew J Grannan
Matthew J Grannan is a Mental Health Counselor in Mount Shasta, California. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
301 Chestnut StMount Shasta, CA 96067-2214
Phone: (530) 926-1436
Fax: (530) 926-2305
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1952766131 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 15, 2015 |
| Last updated in NPPES | December 15, 2015 |
| Mailing address | 301 Chestnut St, Mount Shasta, CA 96067-2214 |
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