Individual
ANNA GRAUERHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
52947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7184
MEDI-CAL
CA
01
—
7368
MEDI-CAL
CA
01
—
7667
MEDI-CAL
CA
01
—
7708
MEDI-CAL
CA
Enumeration date
02/22/2011
Last updated
05/31/2015
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