| Grantyougreatness Licensed Clinical Social Worker Inc | |
|
2382 Faraday Ave Ste 200-19 Carlsbad CA 92008-7218 | |
| (760) 312-0900 | |
| Not Available |
| Full Name | Grantyougreatness Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2382 Faraday Ave Ste 200-19, Carlsbad, California |
| Authorized Official Name and Position | Grant Horner (CEO) |
| Authorized Official Contact | 7608157142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grantyougreatness Licensed Clinical Social Worker Inc 2382 Faraday Ave Ste 200-19 Carlsbad CA 92008-7218 Ph: (760) 312-0900 | Grantyougreatness Licensed Clinical Social Worker Inc 2382 Faraday Ave Ste 200-19 Carlsbad CA 92008-7218 Ph: (760) 312-0900 |
| NPI Number | 1508625112 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508625112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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