person
Jaxon Marcel Grandchamp, SUDRC
Addiction (Substance Use Disorder) Counselor in Sacramento, California
NPI 1972383792

Jaxon Marcel Grandchamp is an Addiction (Substance Use Disorder) Counselor based in Sacramento, CA and is specialized in Addiction (Substance Use Disorder). Jaxon Marcel Grandchamp practices in Sacramento, CA and has the professional credentials of SUDRC. The NPI Number for Jaxon Marcel Grandchamp is 1972383792 and holds a License No. 12856 (California).

The current practice location address for Jaxon Marcel Grandchamp is 2100 Capitol Ave, Sacramento, CA and can be reached out via phone at 916-442-4985.

Location: 2100 Capitol Ave, Sacramento, CA, 95816-5721
person
Provider Profile Details
NPI Number
1972383792
Provider Name
Jaxon Marcel Grandchamp
Credential
SUDRC
Provider Entity Type
Individual
Gender
Male
Address
2100 Capitol Ave, Sacramento, CA, 95816-5721
Phone Number
916-442-4985
Fax Number
Provider Enumeration Date
09/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2100 Capitol Ave
City
State
Zip
95816-5721
Phone Number
916-442-4985
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Capitol Ave
City
State
Zip
95816-5721
Phone Number
916-442-4985
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12856 (California)
Definition
Definition to come...
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