Individual
GRACE HOLTSCHULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6160 CORNERSTONE CT E STE 100, SAN DIEGO, CA 92121-3724
(858) 304-6440
Mailing address
1537 MISSOURI ST APT 1, SAN DIEGO, CA 92109-3041
(707) 490-4814
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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