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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