Individual
MISS NICOLE CATHERINE GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1137 W LEOTA RD, SCOTTSBURG, IN 47170-7111
(530) 736-0872
Mailing address
1137 W LEOTA RD, SCOTTSBURG, IN 47170-7111
(530) 736-0872
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002154A
IN
106H00000X
Marriage & Family Therapist
AMF101668
CA
Other
Enumeration date
12/04/2018
Last updated
03/30/2023
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