Individual provider · Type 1 NPI
Mark Degrandis
Mental Health Counselor · Matawan, NJ
NPI number
1194473348
Active
Practice location
166 Main St
Matawan, NJ 07747-3104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1194473348
Mark Degrandis's National Provider Identifier is 1194473348, issued on Mar 16, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Matawan, NJ. The record was last updated on Mar 16, 2022.