Individual
ANGEL MANASA GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 HARRIER AVE, VALLEJO, CA 94590-3710
(831) 428-2845
Mailing address
120 HARRIER AVE, VALLEJO, CA 94590-3710
(831) 428-2845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AMFT108416
CA
Other
Enumeration date
12/12/2016
Last updated
03/10/2021
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