Organization
GRACE COUNSELING & PSYCHOTHERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIKA MARIA GRACE PHD, MDIV, THM (OWNER)
(619) 381-8472
Entity
Organization
Contact information
Practice address
135 E 3RD AVE STE B, ESCONDIDO, CA 92025-4252
(619) 381-8472
Mailing address
5700 BALTIMORE DR, UNIT 161, LA MESA, CA 91942-1616
(619) 405-4980
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY24462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY24462
LICENSE
—
Enumeration date
09/01/2016
Last updated
12/04/2023
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