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Theresa Grisco

Counselor, Mental Health in Ewa Beach, HI. Individual provider (NPI-1).

NPI number1942021720
StatusActive
Last updated in NPPESOct 23, 2024

Details

NPI
1942021720
Entity type
Individual (NPI-1)
Name
Theresa Grisco
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 23, 2024
Certification date
Oct 23, 2024
Last updated
Oct 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

6388a 101st St
Ewa Beach, HI 96706-3334

Phone 630-433-6350

Mailing address

6388a 101st St
Ewa Beach, HI 96706-3334

Phone 630-433-6350

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