Individual provider · Type 1 NPI

Grant Corso, M.A.

Student in an Organized Health Care Education/Training Program · La Jolla, CA

NPI number 1386480085 Active

Practice location

7855 Fay Ave Ste 310
La Jolla, CA 92037-4280

Call (619) 953-7484 Map

Mailing address

7855 Fay Ave
La Jolla, CA 92037-4265

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

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About NPI 1386480085

Grant Corso, M.A.'s National Provider Identifier is 1386480085, issued on Jul 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Jolla, CA. The record was last updated on Jul 2, 2024.