Individual provider · Type 1 NPI
Allyn Brooke Granade, LPC
Professional Counselor · Springfield, OR
NPI number
1790287043
Active
Practice location
387 65th St
Springfield, OR 97478-7067
Mailing address
PO Box 2022
White City, OR 97503-0022
Other practice locations
- 2000 Oakwood Dr, Medford, OR 97504-7633 · (541) 690-6706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C4792 (OR) |
Professional Counselor: Definition to come...
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About NPI 1790287043
Allyn Brooke Granade, LPC's National Provider Identifier is 1790287043, issued on Mar 2, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, OR. The record was last updated on Sep 4, 2024.