MARK GRANDA

SAN ANTONIO, TX
NPI1366374563
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  17557)
Enumeration Date2026-06-01
Last Update Date2026-09-18
Business Address
MARK GRANDA
1055 ADA ST
SAN ANTONIO, TX 78223-1703
Phone number: 210-358-5515
Mailing Address
MARK GRANDA
1055 ADA ST
SAN ANTONIO, TX 78223-1703
Phone number: 210-358-5515