Individual provider · Type 1 NPI
Camilla B. Granger, BA, CAC III, NCAC II
Addiction (Substance Use Disorder) Counselor · Wheat Ridge, CO
NPI number
1164968657
Active
Practice location
4485 Wadsworth. Blvd, 206
Wheat Ridge, CO 80033-3310
Fax (303) 431-6713
Mailing address
2435 Kline St
Lakewood, CO 80215-1425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2085 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1164968657
Camilla B. Granger, BA, CAC III, NCAC II's National Provider Identifier is 1164968657, issued on Jan 9, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wheat Ridge, CO. The record was last updated on Jan 20, 2026.