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Organization
GRADY FAMILY THERAPY AND CONSULTING PROFESSIONAL CORPORATION
Active
Organization
GRADY FAMILY THERAPY AND CONSULTING PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GRADY PSYD, LMFT (PRESIDENT)
(608) 436-6578
Entity
Organization
Contact information
Practice address
4305 GESNER ST STE 207, SAN DIEGO, CA 92117-6685
(608) 436-6578
Mailing address
715 COHASSET CT APT 2, SAN DIEGO, CA 92109-8122
(608) 436-6578
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/25/2024
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