Tisha Graybill
Social Worker, Clinical in Red Bluff, CA. Individual provider (NPI-1).
NPI number1043769482
StatusActive
Last updated in NPPESOct 30, 2024
Details
- NPI
- 1043769482
- Entity type
- Individual (NPI-1)
- Name
- Tisha Graybill
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2016
- Certification date
- Oct 30, 2024
- Last updated
- Oct 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW120258 | CA | Yes |
| 104100000X | Social Worker | ASW89580 | CA |
Practice location
118 Belle Mill RdRed Bluff, CA 96080-2850
Phone 530-840-2015 · Fax 530-840-2020
Mailing address
118 Belle Mill RdRed Bluff, CA 96080-2850
Phone 530-840-2015 · Fax 530-840-2020
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