# SAN GABRIEL VALLEY GRIEF RESOURCE AND TRAINING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SGVGRTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164158218
- **Authorized official:** JASON NYHAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (310) 405-3405

## Contact information

- **Practice address:** 960 E GREEN ST STE 280, PASADENA, CA 91106-2419
- **Practice address phone:** (626) 866-1748
- **Mailing address:** 960 E GREEN ST STE 280, PASADENA, CA 91106-2419
- **Mailing address phone:** (626) 866-1748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 102X00000X | Poetry Therapist | — | NULL | — |
| 102X00000X | Poetry Therapist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 225XM0800X | Mental Health Occupational Therapist | — | NULL | — |
| 225XM0800X | Mental Health Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 07/29/2022
- **Last updated:** 07/29/2022