Individual
IRVIN SHUHEI GRANSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT-I, CADC-I
Contact information
Practice address
4221 MCLEOD DR, LAS VEGAS, NV 89121-5215
(702) 474-6450
(702) 474-6463
Mailing address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI4457
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/24/2023
Last updated
02/14/2025
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