Mr. Olen Grant Jr.
Mr. Olen Grant Jr. is a Peer Specialist in Oakland, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
390 40th StOakland, CA 94609-2633
Phone: (510) 613-0330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1780440289 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 23, 2024 |
| Last updated in NPPES | February 23, 2024 |
| Certification date | February 22, 2024 |
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