Individual
ARIANA GRAVANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3101 OCEAN PARK BLVD STE 309, SANTA MONICA, CA 90405-3022
(424) 231-6981
Mailing address
3101 OCEAN PARK BLVD STE 309, SANTA MONICA, CA 90405-3022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPCC6101
CA
101YM0800X
Mental Health Counselor
Primary
LPCC6101
CA
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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