Individual
MRS. CATHERINE GRELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MFT INTERN
Contact information
Practice address
36 37TH AVE, SAN MATEO, CA 94403-4405
(650) 295-2160
Mailing address
PO BOX 934, SAN CARLOS, CA 94070-0934
(650) 208-3997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679619910
CATHOLIC CHARITIES CYO
CA
Enumeration date
06/24/2011
Last updated
06/24/2011
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