Individual
GRACE PELLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S. PSYCHOLOGY
Contact information
Practice address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 591-5740
(619) 591-5744
Mailing address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 591-5740
(619) 591-5744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/29/2013
Last updated
11/29/2013
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