Granick, Jamal Lawrence

Granick, Jamal Lawrence is an sole proprietor health care provider with primary practice located at 1676 Solano Ave , Albany CA 94707-2118. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Granick, Jamal Lawrence can be contacted via phone (415) 248-1772.

Contact Information

Primary practice address
1676 Solano Ave Albany CA 94707-2118
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 38084 California

Profile Details

NPI number 1518081017
LBN Legal business name Granick, Jamal Lawrence
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518081017 NPPES
California MEDICAID 80612

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