person
Gordon Antonelli Grant
Mental Health Counselor in Hayward, California
NPI 1548388010

Gordon Antonelli Grant is a Mental Health Counselor based in Hayward, CA and is specialized in Mental Health. Gordon Antonelli Grant practices in Hayward, CA. The NPI Number for Gordon Antonelli Grant is 1548388010 and holds a License No. (California).

The current practice location address for Gordon Antonelli Grant is 22262 S Garden Ave Apt 104, Hayward, CA and can be reached out via phone at 510-978-9655.

Location: 22262 S Garden Ave Apt 104, Hayward, CA, 94541-6025
person
Provider Profile Details
NPI Number
1548388010
Provider Name
Gordon Antonelli Grant
Credential
Provider Entity Type
Individual
Gender
Male
Address
22262 S Garden Ave Apt 104, Hayward, CA, 94541-6025
Phone Number
510-978-9655
Fax Number
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22262 S Garden Ave Apt 104
City
State
Zip
94541-6025
Phone Number
510-978-9655
Fax Number
person
Provider Business Mailing Address Details
Address
22262 S Garden Ave Apt 104
City
State
Zip
94541-6025
Phone Number
510-978-9655
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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