Mark Degrandis
Counselor, Mental Health in Matawan, NJ. Individual provider (NPI-1).
NPI number1194473348
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1194473348
- Entity type
- Individual (NPI-1)
- Name
- Mark Degrandis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2022
- Certification date
- Mar 16, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
166 Main StMatawan, NJ 07747-3104
Phone 732-290-9040
Mailing address
166 Main StMatawan, NJ 07747-3104
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All 60 Mental Health Counselor providers in Matawan · All 836 providers in Matawan
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