Individual
NATHAN A GRANITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5753 WHITE PINE RD, WHITESTOWN, IN 46075-9715
(630) 945-8454
Mailing address
5753 WHITE PINE RD, WHITESTOWN, IN 46075-9715
(630) 945-8454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001179A
IN
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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