Organization
IVY GRIFFIN PRIVATE PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARIELLE GROSSMAN (MFT INTERN #90359)
(916) 905-2214
Entity
Organization
Contact information
Practice address
1909 CAPITOL AVE STE 302, SACRAMENTO, CA 95811-4242
(916) 905-2214
Mailing address
1909 CAPITOL AVE STE 302, SACRAMENTO, CA 95811-4242
(916) 905-2214
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
90359
CA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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