Individual provider · Type 1 NPI

Shannon Grady

Mental Health Counselor · San Luis Obispo, CA

NPI number 1144707126 Active

Practice location

1255 Kendall Rd
San Luis Obispo, CA 93401-8750

Call (805) 781-3535 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144707126

Shannon Grady's National Provider Identifier is 1144707126, issued on Jul 23, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 23, 2018.