Individual
ERIC ROLAND WITHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
960 MCCOURTNEY RD STE E, GRASS VALLEY, CA 95949-7423
(530) 272-4008
Mailing address
960 MCCOURTNEY RD STE E, GRASS VALLEY, CA 95949-7423
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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