MS. Lisa A Grinnell, MFT ITERN

NPI #1417223868 in Las Vegas, Nevada

Provider Information

NPI Number
1417223868
Entity Type
Individual
Name
MS. Lisa A Grinnell, MFT ITERN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Exclusive Provider Organization
Credential
MFT ITERN
Enumeration Date
Mar 30, 2012
Last Updated
Mar 30, 2012

Practice Location

Address
499 SIERRA VISTA DR
Address 2
#33
State
Nevada
ZIP Code
89169-2765
Phone
(702) 708-6901

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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