Individual
GREGORY BRADFORD MCCORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MDIV.
Contact information
Practice address
9820 WILLOW CREEK RD, 245, SAN DIEGO, CA 92131-1112
(858) 225-6200
Mailing address
9820 WILLOW CREEK RD, 245, SAN DIEGO, CA 92131-1112
(858) 225-6200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
38364
CA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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