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Marvin Darnell Graddy
Addiction (Substance Use Disorder) Psychologist in Antioch, California
NPI 1144805011

Marvin Darnell Graddy is an Addiction (Substance Use Disorder) Psychologist based in Antioch, CA and is specialized in Addiction (Substance Use Disorder). Marvin Darnell Graddy practices in Antioch, CA. The NPI Number for Marvin Darnell Graddy is 1144805011 and holds a License No. 101YA0400X (California).

The current practice location address for Marvin Darnell Graddy is 1320 Rockspring Way, Antioch, CA and can be reached out via phone at 925-334-9906.

Location: 1320 Rockspring Way, Antioch, CA, 94509-6101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144805011
Provider Name
Marvin Darnell Graddy
Credential
Provider Entity Type
Individual
Gender
Male
Address
1320 Rockspring Way, Antioch, CA, 94509-6101
Phone Number
925-334-9906
Fax Number
Provider Enumeration Date
03/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5VE8-FC6-UP53 05 CA
institution
Provider Business Practice Location Address Details
Address
1320 Rockspring Way
City
Antioch
State
California
Zip
94531-8397
Phone Number
925-334-9906
Fax Number
person
Provider Business Mailing Address Details
Address
1320 Rockspring Way
City
Antioch
State
California
Zip
94531-8397
Phone Number
925-334-9906
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
101YA0400X (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
101YA0400X (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
101YA0400X (California)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
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