person
Mr. Richard Lynn Granstaff II, LPCC,CATC-IV
Professional Counselor in San Diego, California
NPI 1821523705

Richard Lynn Granstaff II is a Professional Counselor based in San Diego, CA and is specialized in Professional. Richard Lynn Granstaff II practices in San Diego, CA and has the professional credentials of LPCC,CATC-IV. The NPI Number for Richard Lynn Granstaff II is 1821523705 and holds a License No. B00001790521 (California).

The current practice location address for Richard Lynn Granstaff II is 286 Euclid Ave Ste 102, San Diego, CA and can be reached out via phone at 619-859-6270 and via fax at 619-527-8536.

Location: 286 Euclid Ave Ste 102, San Diego, CA, 92103-3312
person
Provider Profile Details
NPI Number
1821523705
Provider Name
Richard Lynn Granstaff II
Credential
LPCC,CATC-IV
Provider Entity Type
Individual
Gender
Male
Address
286 Euclid Ave Ste 102, San Diego, CA, 92103-3312
Phone Number
619-859-6270
Fax Number
619-527-8536
Provider Enumeration Date
04/27/2017
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
286 Euclid Ave Ste 102
City
State
Zip
92114-3611
Phone Number
619-859-6270
Fax Number
619-527-8536
person
Provider Business Mailing Address Details
Address
286 Euclid Ave Ste 102
City
State
Zip
92114-3611
Phone Number
619-859-6270
Fax Number
619-527-8536
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
122582 III (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
B00001790521 (California)
Definition
Definition to come...
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