Granados, Ingrid M

Granados, Ingrid M is an individual health care provider with primary practice located at 111 Smith Ranch Rd , San Rafael CA 94903-1939. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Granados, Ingrid M can be contacted via phone (415) 491-3000.

Contact Information

Primary practice address
111 Smith Ranch Rd San Rafael CA 94903-1939
Phone: (415) 491-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1831715788
LBN Legal business name Granados, Ingrid M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2020
Last updated Sep 13th, 2024 - about 2 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.

Request for update

Popular Providers