Individual provider · Type 1 NPI

Jaxon Marcel Grandchamp, SUDRC

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1972383792 Active

Practice location

2100 Capitol Ave
Sacramento, CA 95816-5721

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12856 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972383792

Jaxon Marcel Grandchamp, SUDRC's National Provider Identifier is 1972383792, issued on Sep 29, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Sep 29, 2023.