Individual provider · Type 1 NPI

Lisa Victoria Grassle, MFT

Marriage & Family Therapist · Nipomo, CA

NPI number 1417122292 Active

Practice location

454 Mercury Dr
Nipomo, CA 93444-9614

Call (805) 929-5582 Map

Mailing address

PO Box 2212
Nipomo, CA 93444-2212

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC31818 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1417122292

Lisa Victoria Grassle, MFT's National Provider Identifier is 1417122292, issued on Apr 23, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Nipomo, CA. The record was last updated on Apr 23, 2008.