Grace, Telina Michelle

Grace, Telina Michelle is an individual health care provider with primary practice located at 14240 Imperial Hwy , La Mirada CA 90638-1940. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Grace, Telina Michelle can be contacted via phone (562) 946-1587.

Contact Information

Primary practice address
14240 Imperial Hwy La Mirada CA 90638-1940
Fax: (562) 946-5740
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 145471 California

Profile Details

NPI number 1558912915
LBN Legal business name Grace, Telina Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2019
Last updated Apr 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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