Individual provider · Type 1 NPI
Jorge Eduardo Grandela, MA/PSYD
Mental Health Counselor · Windsor, VA
NPI number
1376573469
Active
Practice location
79 E. Windsor Blvd
Windsor, VA 23487
Mailing address
3930 Seeman Rd
Virginia Beach, VA 23452-2457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710101723 (VA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0718000171 (VA) |
| Mental Health Counselor Primary | 101YM0800X | 0701002347 (VA) |
| Marriage & Family Therapist | 106H00000X | 0717001060 (VA) |
Mental Health Counselor: Definition to come...
About NPI 1376573469
Jorge Eduardo Grandela, MA/PSYD's National Provider Identifier is 1376573469, issued on Jul 4, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Windsor, VA. The record was last updated on Nov 26, 2007.