| Mr Dylan Grace, | |
|
1003 S Beacon St, San Pedro, CA 90731-4324 | |
| (310) 514-4940 | |
| Not Available |
| Full Name | Mr Dylan Grace |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1003 S Beacon St, San Pedro, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285107979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1319240818 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dylan Grace, Po Box 328, San Pedro, CA 90733-0328 Ph: (310) 514-4940 | Mr Dylan Grace, 1003 S Beacon St, San Pedro, CA 90731-4324 Ph: (310) 514-4940 |
Ante Babich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 599 W 9th St, San Pedro, CA 90731 Phone: 310-831-0006 | |
Ruby L Campos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 W 9th St, San Pedro, CA 90731 Phone: 310-521-9209 | |
Kimberly Womack, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 677 W 15th St, San Pedro, CA 90731 Phone: 716-998-3170 | |
Miss Tiffany Michelle Winston, Counselor Medicare: Medicare Enrolled Practice Location: 704 W 8th St, San Pedro, CA 90731 Phone: 310-832-7545 | |
Aaron Roger Crandell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 S Beacon St, San Pedro, CA 90731 Phone: 310-868-9583 | |
Allison Arkfeld, B.S., M.F.T. TRAINEE Counselor Medicare: Not Enrolled in Medicare Practice Location: 599 W 9th St, San Pedro, CA 90731 Phone: 424-772-6295 Fax: 310-831-0004 | |
Tana Isabel Crain, REGISTERED STUDENT Counselor Medicare: Not Enrolled in Medicare Practice Location: 599 W 9th St, San Pedro, CA 90731 Phone: 310-831-0331 |