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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336037118

Randy Grant Jr. is an Addiction (Substance Use Disorder) Counselor in Fair Oaks, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

11228 Fair Oaks Blvd
Fair Oaks, CA 95628-5139
Phone: (916) 962-2800
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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 R1599760225 (CA)

Record details

NPI number1336037118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 27, 2025
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address11228 Fair Oaks Blvd, Fair Oaks, CA 95628-5139

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