Individual provider · Type 1 NPI

Phinnillipa Degruy

Counselor · Hercules, CA

NPI number 1124221643 Active

Practice location

127 Grenadine Way
Hercules, CA 94547-2041

Call (510) 799-1570 Map

Fax (510) 799-1866

Mailing address

1901 Church Ln
San Pablo, CA 94806-3707

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124221643

Phinnillipa Degruy's National Provider Identifier is 1124221643, issued on Jun 11, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hercules, CA. The record was last updated on Jul 8, 2007.