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Individual

ANEESAH GRAYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 2ND ST, SAN RAFAEL, CA 94901-2712
(415) 456-6655
Mailing address
2235 108TH AVE, OAKLAND, CA 94603-4012
(510) 708-2975

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/27/2025
Last updated
02/27/2025
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