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Individual
CAMILLA B GRANGER
Active
Individual
CAMILLA B GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CAC III, NCAC II
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2085
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2085
CO
Other
Enumeration date
01/09/2017
Last updated
01/20/2026
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