Individual
MICHAEL D GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV., M.S.
Contact information
Practice address
12362 GRAND TETON DR, PEYTON, CO 80831-7083
(805) 717-9946
Mailing address
12362 GRAND TETON DR, PEYTON, CO 80831-7083
(805) 717-9946
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
200927
TX
Other
Enumeration date
12/06/2005
Last updated
04/01/2011
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