Graville, Michelle Larson
Graville, Michelle Larson is an sole proprietor health care provider with primary practice located at 307 S B St Ste 3 , San Mateo CA 94401-4054. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Graville, Michelle Larson can be contacted via phone (650) 533-4437.Contact Information
Primary practice address
307 S B St Ste 3
San Mateo CA 94401-4054
Phone: (650) 533-4437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 77629 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFCC77629 | California |
Profile Details
| NPI number | 1265575211 |
|---|---|
| LBN Legal business name | Graville, Michelle Larson |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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