Individual
KATHERYNE GRIJALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
539 ISLINGTON ST STE 4, PORTSMOUTH, NH 03801-4471
(603) 689-7890
Mailing address
21 BEECHSTONE APT 5, PORTSMOUTH, NH 03801-6321
(857) 413-6055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
2556
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078870
—
NH
Enumeration date
01/22/2020
Last updated
08/07/2023
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