Individual
STEPHANIE RENEE GRANATELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMPSS
Contact information
Practice address
44359 PALM ST, INDIO, CA 92201-3116
(760) 342-6616
Mailing address
44359 PALM ST, INDIO, CA 92201-3116
(760) 342-6616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15692
CA
175T00000X
Peer Specialist
Primary
MPSS-NKOHPX
CA
Other
Enumeration date
08/29/2023
Last updated
01/30/2026
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