Individual provider · Type 1 NPI

Tierra Nichole Grundy, MA

Marriage & Family Therapist · Victorville, CA

NPI number 1467960187 Active

Practice location

14344 Cajon Ave
Victorville, CA 92392-4300

Fax (760) 243-9559

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XAMFT103900 (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 1467960187

Tierra Nichole Grundy, MA's National Provider Identifier is 1467960187, issued on Jan 16, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Victorville, CA. The record was last updated on Nov 29, 2018.