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Organization

GRACE COUNSELING GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH ATTARDO L.M.F.T. (DIRECTOR)
(562) 598-5991
Entity
Organization

Contact information

Practice address
4132 KATELLA AVE, SUITE 104, LOS ALAMITOS, CA 90720-3426
(562) 598-5991
(562) 598-5997
Mailing address
4132 KATELLA AVE, SUITE 104, LOS ALAMITOS, CA 90720-3426
(562) 598-5991
(562) 598-5997

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMF63894
CA

Other

Enumeration date
07/20/2015
Last updated
07/20/2015
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