Heather Grundy

NPI #1942651203 in Banning, California

Provider Information

NPI Number: 1942651203
Entity Type: Individual
Name: Heather Grundy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 28, 2016
Last Updated: Apr 19, 2022

Practice Location

Address: 1627 S HARGRAVE ST
City: Banning
State: California
ZIP Code: 92220-6169
Phone: (951) 922-7612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Case Manager/Care Coordinator	171M00000X
Counselor	101Y00000X	Primary

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