Individual
MR. DAVID ANDREW GRANDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFCC
Contact information
Practice address
540 MOREY DR # 203B, MENLO PARK, CA 94025-5123
(650) 207-5705
Mailing address
540 MOREY DR # 203B, MENLO PARK, CA 94025-5123
(650) 207-5705
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MT20066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12345678910
—
CA
Enumeration date
03/31/2022
Last updated
03/31/2022
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