Individual
AARON GRADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2560 N PERRIS BLVD STE N1, PERRIS, CA 92571-3251
(951) 940-6755
Mailing address
12557 PENSKE ST, MORENO VALLEY, CA 92553-5208
(951) 432-6589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
172V00000X
Community Health Worker
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
11/13/2024
Last updated
01/06/2026
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