Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Dylan Grace

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1285107979

Mr. Dylan Grace is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1003 S Beacon St
San Pedro, CA 90731-4324
Phone: (310) 514-4940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1319240818 (CA)

Record details

NPI number1285107979
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 6, 2019
Last updated in NPPESJanuary 6, 2019
Mailing addressPo Box 328, San Pedro, CA 90733-0328

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