NPI 1003519463

Irvin Shuhei Granstrom, MFTICADCI

Practitioner Marriage & Family Therapist Las Vegas, NV

Practice location

Address: 4221 McLeod Dr, Las Vegas, NV 89121-5215
Phone: (702) 474-6450
Fax: (702) 474-6463
Mailing address: 3680 N Rancho Dr, Las Vegas, NV 89130-3180

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MI4457 (NV)

Other Marriage & Family Therapist providers in Nevada →

Rehabilitation Practitioner

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

Other Rehabilitation Practitioner providers in Nevada →

Registry record

NPI: 1003519463
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2023
Record last updated: 14 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.