Cynthia Grissom

NPI #1912887324 in El Portal, California

Provider Information

NPI Number: 1912887324
Entity Type: Individual
Name: Cynthia Grissom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - School
Enumeration Date: Sep 5, 2025
Last Updated: Sep 5, 2025

Practice Location

Address: 9670 RANCHERIA FLAT RD
City: El Portal
State: California
ZIP Code: 95318
Phone: (209) 793-1753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X	Primary

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