Individual provider · Type 1 NPI

Corrissa Madden-Grubb

Mental Health Counselor · San Rafael, CA

NPI number 1255614889 Active

Practice location

900 Fifth Avenue, Suite 150;
San Rafael, CA 94901

Call (405) 202-3859 Map

Mailing address

900 Reichert Ave #507
Novato, CA 94945

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1255614889

Corrissa Madden-Grubb's National Provider Identifier is 1255614889, issued on Sep 20, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Nov 15, 2013.