Individual
MRS. ATHENA FELICIA GRIJALVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
2217 CAPITOL WAY S, OLYMPIA, WA 98501-2830
(360) 259-4223
Mailing address
7133 RADIUS LOOP SE, LACEY, WA 98513-5140
(360) 259-4223
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF 00001986
WA
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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