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 Date2026-06-29
Business Address
MARK GRANDA
12640 CORONA BOREALIS
SAN ANTONIO, TX 78245-4861
Phone number: 830-225-1622
Mailing Address
MARK GRANDA
12640 CORONA BOREALIS
SAN ANTONIO, TX 78245-4861
Phone number: 830-225-1622
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