Lisa Victoria Grassle, MFT

NPI #1417122292 in Nipomo, California

Provider Information

NPI Number
1417122292
Entity Type
Individual
Name
Lisa Victoria Grassle, MFT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
MFT
Enumeration Date
Apr 23, 2008
Last Updated
Apr 23, 2008

Practice Location

Address
454 MERCURY DR
City
Nipomo
ZIP Code
93444-9614
Phone
(805) 929-5582

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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