Individual provider · Type 1 NPI

Mitchell Lee Gresham Jr.

Professional Counselor · San Diego, CA

NPI number 1437622883 Active

Practice location

4660 Palm Ave
San Diego, CA 92154-8404

Call (183) 357-9484 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X21573 (CA)

Professional Counselor: Definition to come...

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About NPI 1437622883

Mitchell Lee Gresham Jr.'s National Provider Identifier is 1437622883, issued on Jan 8, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Diego, CA. The record was last updated on Jun 19, 2026.