Individual
BYRON SCOTT GROSECLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4867 BUNKER ST NW, BREMERTON, WA 98311-2470
(925) 354-7285
Mailing address
300 FAULKNER CT, LINCOLN, CA 95648-2222
(925) 354-7285
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61675260
WA
106H00000X
Marriage & Family Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2022
Last updated
01/28/2026
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