Individual
GRANTLEY SAMUELS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1263 MISSION ST, SAN FRANCISCO, CA 94103-2705
(415) 650-6064
Mailing address
1263 MISSION STREET, SAN FRANCISCO, CA 94103, SAN FRANCISCO, CA 94103
(628) 222-9790
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19786
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/03/2016
Last updated
08/25/2025
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