Individual
BRETT GRINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
928 BROADWAY, SAN DIEGO, CA 92101-5514
(619) 977-3716
Mailing address
928 BROADWAY, SAN DIEGO, CA 92101-5514
(619) 977-3716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
ASW
CA
Other
Enumeration date
06/25/2015
Last updated
03/28/2023
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