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Individual

GRACE KU WINQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
13730 PEQUOT DR, POWAY, CA 92064-3826
(508) 380-4334
Mailing address
14781 POMERADO RD STE 514, POWAY, CA 92064-2802

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19472
CA

Other

Enumeration date
04/04/2019
Last updated
06/06/2025
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