Grayson Wallen, LPCC
NPI #1962007369 in Encinitas, California
Provider Information
- NPI Number
- 1962007369
- Entity Type
- Individual
- Name
- Grayson Wallen, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC
- Enumeration Date
- Dec 2, 2020
- Last Updated
- Aug 17, 2022
Practice Location
- Address
- 169 SAXONY RD STE 205
- City
- Encinitas
- State
- California
- ZIP Code
- 92024-6780
- Phone
- (480) 234-8363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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