Individual
MRS. CLARISSA LYNN GREGUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, ATR
Contact information
Practice address
4620 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-5408
(262) 441-0686
Mailing address
4620 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-5408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7533
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
06/28/2019
Last updated
03/10/2020
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