Individual
DRAYKAR GRANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 152, PENNINGTON GAP, VA 24277-0152
(888) 322-3492
Mailing address
21412 HAMPTON AVE, SOUTH CHESTERFIELD, VA 23803-2268
(804) 312-1127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015860
VA
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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