Individual
GWENA LEA MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 S AUBURN ST STE C2, GRASS VALLEY, CA 95945-4318
(530) 265-5811
Mailing address
760 S AUBURN ST STE C2, GRASS VALLEY, CA 95945-4318
(530) 265-5811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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