Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003208786 |
---|---|
Provider Name | Richard Grant Muir |
First Address | Santa Clara, CA 95050-4333 |
Second Address | Santa Clara, CA 95050-4333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2015 |
Last Update Date | 26/06/2015 |