Marvin Darnell Graddy
Mental Health Counselor Addiction Counselor (Substance Use Disorder) Addiction Psychologist (Substance Use Disorder)
1320 Rockspring Way
Antioch
, California 94531-8397
Marvin Darnell Graddy
Mental Health Counselor Addiction Counselor (Substance Use Disorder) Addiction Psychologist (Substance Use Disorder)
1320 Rockspring Way
Antioch
, California 94531-8397
(925) 522-0124
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Mental Health Counselor
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
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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What type of doctor is Marvin Darnell Graddy
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Is Marvin Darnell Graddy a sole practitioner?
Is Marvin Darnell Graddy accepting new patients?
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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.