# IRVIN SHUHEI GRANSTROM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003519463
- **Gender:** Man
- **Credential:** MFT-I, CADC-I

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MI4457 | NV | Yes |
| 225400000X | Rehabilitation Practitioner | — | NULL | — |

## Other

- **Enumeration date:** 03/24/2023
- **Last updated:** 02/14/2025