Individual
MR. JONATHAN GILBERT GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 238-5020
(510) 352-9981
Mailing address
280 17TH ST, OAKLAND, CA 94612-4124
(510) 238-5020
(510) 352-9981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-KBEAWR
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1411033663
EMPLOYER ID #
CA
Enumeration date
04/01/2013
Last updated
06/25/2025
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