Individual
STEPHANIE GRIMALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1093
(916) 290-8149
Mailing address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
16358
CA
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2021
Last updated
04/26/2024
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