Padamada, Grizelli-Shane

Padamada, Grizelli-Shane is an individual health care provider with primary practice located at 5706 Baltimore Dr Unit 375 , La Mesa CA 91942-1685. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Padamada, Grizelli-Shane can be contacted via phone (619) 567-7399.

Contact Information

Primary practice address

5706 Baltimore Dr Unit 375 La Mesa CA 91942-1685

Phone: (619) 567-7399

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Mental Health	101YM0800X		California
Behavioral Health & Social Service Providers / Professional	101YP2500X	LPCC9228	California

Profile Details

NPI number	1679965206
LBN Legal business name	Padamada, Grizelli-Shane
Credentials	LPCC 9228
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 18th, 2015
Last updated	Aug 29th, 2024 - about 2 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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