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Organization
GRACE OU MARRIAGE AND FAMILY THERAPY
Active
Organization
GRACE OU MARRIAGE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE OU MSMFT (THERAPIST)
(626) 268-0110
Entity
Organization
Contact information
Practice address
1140 OKOBOJI DR UNIT A, ARCADIA, CA 91007-8870
(626) 268-0110
Mailing address
1140 OKOBOJI DR UNIT A, ARCADIA, CA 91007-8870
(626) 268-0110
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265981740
NPI
CA
01
—
17202542574
NPI
CA
Enumeration date
01/25/2019
Last updated
04/26/2021
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