Individual
PROF. GRISSELLE IVETTE VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
2400 N BULLARD AVE APT 1095, GOODYEAR, AZ 85395-3339
(352) 678-8554
(352) 678-8554
Mailing address
91ST PEORIA AVE, PEORIA, AZ 85345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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