Individual
CAROL S GRUNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
771 W ORANGETHORPE AVE, FULLERTON, CA 92832-2806
(714) 879-6916
Mailing address
1270 E LINCOLN AVE UNIT 310, ANAHEIM, CA 92805-4255
(657) 259-7241
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13121
CA
Other
Enumeration date
11/12/2020
Last updated
04/18/2024
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