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Individual

MR. JORGE EDUARDO GRANDELA

Active
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Individual

MR. JORGE EDUARDO GRANDELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA/PSYD

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710101723
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000171
VA
101YM0800X
Mental Health Counselor
Primary
0701002347
VA
106H00000X
Marriage & Family Therapist
0717001060
VA

Other

Enumeration date
07/04/2006
Last updated
11/26/2007
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