Individual
GRACE WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 GLENWOOD DR, SCOTTS VALLEY, CA 95066-3262
(831) 439-9555
Mailing address
555 GLENWOOD DR, SCOTTS VALLEY, CA 95066-3262
(831) 439-9555
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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