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Marvin Darnell Graddy

Mental Health Counselor Addiction Counselor (Substance Use Disorder) Addiction Psychologist (Substance Use Disorder)

1320 Rockspring Way
Antioch , California 94531-8397

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)
  • Mental Health Counselor
  • Addiction Psychologist (Substance Use Disorder)

Languages spoken

  • English

Location

1320 Rockspring Way Antioch , California 94531-8397

First Address

  • Marvin Darnell Graddy
  • 3707 Sunset Ln
  • Antioch, CA
  • Zip : 94509-6101
  • Phone : (925) 522-0124

Second Address

  • Marvin Darnell Graddy
  • 1320 Rockspring Way
  • Antioch, CA
  • Zip : 94531-8397
  • Phone : (925) 334-9906

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FAQs


Where did Marvin Darnell Graddy attend graduate school?

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Where did Marvin Darnell Graddy do his residency?

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Where did Marvin Darnell Graddy do his fellowship?

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Is Marvin Darnell Graddy board certified?

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What type of doctor is Marvin Darnell Graddy

Addiction Psychologist (Substance Use Disorder)

In what state does Marvin Darnell Graddy practice in?

California

Where is Marvin Darnell Graddy ’s practice located?

1320 Rockspring Way , Antioch, California, 94531-8397

What is Marvin Darnell Graddy ’s gender?

Male

Is Marvin Darnell Graddy a sole practitioner?

No

Is Marvin Darnell Graddy accepting new patients?

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What languages does Marvin Darnell Graddy speak?

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Does Marvin Darnell Graddy accept insurance?

Yes, Marvin Darnell Graddy accepts insurance

Does Marvin Darnell Graddy offers telemedicine?

Marvin Darnell Graddy has not indicated if he offers telemedicine

What is Marvin Darnell Graddy ’s professional license number?

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What is Marvin Darnell Graddy ’s NPI number?

1144805011

Does Marvin Darnell Graddy have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 101YA0400X Addiction Counselor (Substance Use Disorder) 101YA0400X CA
N 101YM0800X Mental Health Counselor 101YA0400X CA
Y 103TA0400X Addiction Psychologist (Substance Use Disorder) 101YA0400X CA

National Provider Identifier

NPI 1144805011
Provider Name Marvin Darnell Graddy
First Address Antioch, CA 94509-6101
Second Address Antioch, CA 94531-8397
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 12/03/2021
Last Update Date 12/03/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
5VE8-FC6-UP53 (05) CA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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