Michelle Larson Graville in San Mateo - Marriage & Family Therapist
Michelle Larson Graville - NPI 1265575211
Michelle Larson Graville is a Marriage & Family Therapist in San Mateo, California. Michelle Larson Graville practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Michelle Larson Graville is 1265575211. The last update date is 2022-07-21.
Michelle Larson Graville's current location address is 307 S B St Ste 3, San Mateo, California. You can contact this provider via phone number 6505334437. The mailing address for Michelle Larson Graville is 307 S B St Ste 3, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Larson Graville |
|---|---|
| Address | 307 S B St Ste 3, San Mateo, California |
| Phone Number | 6505334437 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1265575211 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 307 S B St Ste 3 |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 944014054 |
| Phone Number | 6505334437 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 77629 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique provider identifier assigned to Michelle Larson Graville?
The Michelle Larson Graville has been issued the NPI (National Provider Identifier) 1265575211 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Michelle Larson Graville's facilities are geographically located?
The facilities of Michelle Larson Graville are physically situated at the following location: 307 S B St Ste 3, San Mateo, CA, 944014054.
What is the area of specialization for Michelle Larson Graville, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michelle Larson Graville is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265575211 to Michelle Larson Graville?
The Michelle Larson Graville received its 1265575211 assignment from the Centers for Medicare & Medicaid Services on 2007-02-15.
When was the information regarding Michelle Larson Graville most recently updated?
The details pertaining to the Michelle Larson Graville, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN