Individual provider · Type 1 NPI

Dylan Grace

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1285107979 Active

Practice location

1003 S Beacon St
San Pedro, CA 90731-4324

Call (310) 514-4940 Map

Mailing address

PO Box 328
San Pedro, CA 90733-0328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1319240818 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1285107979

Dylan Grace's National Provider Identifier is 1285107979, issued on Jan 6, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Jan 6, 2019.