Individual provider · Type 1 NPI

Randy Grant Jr.

Addiction (Substance Use Disorder) Counselor · Fair Oaks, CA

NPI number 1336037118 Active

Practice location

11228 Fair Oaks Blvd
Fair Oaks, CA 95628-5139

Call (916) 962-2800 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1599760225 (CA)

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

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About NPI 1336037118

Randy Grant Jr.'s National Provider Identifier is 1336037118, issued on Jun 27, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fair Oaks, CA. The record was last updated on Jun 27, 2025.