RANDY GRANT

FAIR OAKS, CA
NPI1336037118
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1599760225)
Enumeration Date2025-06-27
Last Update Date2025-06-27
Business Address
RANDY GRANT
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628-5139
Phone number: 916-962-2800
Mailing Address
RANDY GRANT
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628-5139
Phone number: 916-962-2800