Individual provider · Type 1 NPI

Gordon Antonelli Grant

Mental Health Counselor · Hayward, CA

NPI number 1548388010 Active

Practice location

22262 S Garden Ave Apt 104
Hayward, CA 94541-6025

Call (510) 978-9655 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548388010

Gordon Antonelli Grant's National Provider Identifier is 1548388010, issued on Mar 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hayward, CA. The record was last updated on Jul 8, 2007.