Individual
GRANT WETTELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 ROBERTA LN STE 104, SPARKS, NV 89431-6812
(775) 525-1616
Mailing address
6141 INGLESTON DR APT 821, SPARKS, NV 89436-7058
(909) 529-3832
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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