Graville, Michelle Larson

Graville, Michelle Larson is an sole proprietor health care provider with primary practice located at 307 S B St Ste 3 , San Mateo CA 94401-4054. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Graville, Michelle Larson can be contacted via phone (650) 533-4437.

Contact Information

Primary practice address
307 S B St Ste 3 San Mateo CA 94401-4054
Phone: (650) 533-4437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 77629 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFCC77629 California

Profile Details

NPI number 1265575211
LBN Legal business name Graville, Michelle Larson
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 21st, 2022 - about 3 years ago

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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