Individual provider · Type 1 NPI

Mark Granda

Addiction (Substance Use Disorder) Counselor · San Antonio, TX

NPI number 1366374563 Active

Practice location

1055 Ada St
San Antonio, TX 78223-1703

Call (210) 358-5515 Map

Fax (210) 358-5530

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17557 (TX)

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

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About NPI 1366374563

Mark Granda's National Provider Identifier is 1366374563, issued on Jun 1, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Antonio, TX. The record was last updated on Sep 18, 2026.