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Individual

DAVID JAMES GRENN

Active
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Individual

DAVID JAMES GRENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, NCC, CADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10046
PA
101YM0800X
Mental Health Counselor
PC009517
PA
101YP2500X
Professional Counselor
Primary
82232
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073614533
NPI
NY
Enumeration date
05/21/2014
Last updated
12/05/2019
About Stedi
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  • EDI platform