Individual
ELLEN GRACE HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC, NCC
Contact information
Practice address
206 SACRAMENTO ST STE 204, NEVADA CITY, CA 95959-2633
(310) 908-8488
Mailing address
508 ASHLAND AVE APT 106, SANTA MONICA, CA 90405-4359
(847) 917-6629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12640
CA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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