Individual
CYNTHIA GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9670 RANCHERIA FLAT RD, EL PORTAL, CA 95318
(209) 793-1753
Mailing address
6549 CALEB DR, WINTON, CA 95388-9274
(209) 793-1753
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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