Individual
CAROL L. GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2781 W RAMSEY ST, SUITE 1, BANNING, CA 92220-3700
(951) 849-3896
(951) 849-0506
Mailing address
5870 ARLINGTON AVE, SUITE 103, RIVERSIDE, CA 92504-2037
(951) 683-6596
(951) 683-4239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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