Individual provider · Type 1 NPI

Mark Grannemann

Mental Health Counselor · Tumwater, WA

NPI number 1750812152 Active

Practice location

6128 Capitol Blvd SE
Tumwater, WA 98501-5271

Mailing address

921 14th Ave
Longview, WA 98632-2316

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG60154298 (WA)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1750812152

Mark Grannemann's National Provider Identifier is 1750812152, issued on Mar 27, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tumwater, WA. The record was last updated on Jan 13, 2020.