Individual provider · Type 1 NPI
Jonathon Grogan
Addiction (Substance Use Disorder) Counselor · Fairfield, CA
NPI number
1730639329
Active
Practice location
2480 Hilborn Rd
Fairfield, CA 94534-1856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1730639329
Jonathon Grogan's National Provider Identifier is 1730639329, issued on Oct 7, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Oct 7, 2016.