Individual
THERESA GRISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6388A 101ST ST, EWA BEACH, HI 96706-3334
(630) 433-6350
Mailing address
6388A 101ST ST, EWA BEACH, HI 96706-3334
(630) 433-6350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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