Individual
ALICE BROGAN STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
14728 JULIANNA WAY, GRASS VALLEY, CA 95945-8879
(530) 446-5463
Mailing address
14278 JULIANNA WAY, GRASS VALLEY, CA 95945
(530) 446-5364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFT23925
CA
106H00000X
Marriage & Family Therapist
Primary
23925
CA
106H00000X
Marriage & Family Therapist
MFT23925
CA
Other
Enumeration date
08/31/2006
Last updated
01/08/2024
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