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Search › California › Addiction (Substance Use Disorder) Counselor

Dylan Grace

NPI 1285107979 · on the registry since 2019 · sole proprietor

Practice

Address
1003 S Beacon St
San Pedro, CA 90731
Phone
(310) 514-4940
Clinicians at this address
32

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-06
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California