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Mark Grannemann
Mental Health Counselor in Tumwater, Washington
NPI 1750812152

Mark Grannemann is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Mark Grannemann practices in Tumwater, WA. The NPI Number for Mark Grannemann is 1750812152 and holds a License No. CG60154298 (Washington).

The current practice location address for Mark Grannemann is 6128 Capitol Blvd Se, Tumwater, WA and can be reached out via phone at 360-704-7170.

Location: 6128 Capitol Blvd Se, Tumwater, WA, 98632-2316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750812152
Provider Name
Mark Grannemann
Credential
Provider Entity Type
Individual
Gender
Male
Address
6128 Capitol Blvd Se, Tumwater, WA, 98632-2316
Phone Number
360-704-7170
Fax Number
Provider Enumeration Date
03/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6128 Capitol Blvd Se
City
Tumwater
State
Washington
Zip
98501-5271
Phone Number
360-704-7170
Fax Number
person
Provider Business Mailing Address Details
Address
6128 Capitol Blvd Se
City
Tumwater
State
Washington
Zip
98501-5271
Phone Number
360-704-7170
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG60154298 (Washington)
Definition
Definition to come...
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