Individual provider · Type 1 NPI

Michael Douglas Grubb

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1629301221 Active

Practice location

390 40th St
Oakland, CA 94609-2633

Call (510) 653-5040 Map

Fax (510) 653-6475

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1629301221

Michael Douglas Grubb's National Provider Identifier is 1629301221, issued on Sep 14, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Oct 3, 2014.