Individual provider · Type 1 NPI
Grizelli-Shane Padamada, LPCC 9228
Professional Counselor · La Mesa, CA
NPI number
1679965206
Active
Practice location
5706 Baltimore Dr Unit 375
La Mesa, CA 91942-1685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | LPCC9228 (CA) |
Professional Counselor: Definition to come...
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About NPI 1679965206
Grizelli-Shane Padamada, LPCC 9228's National Provider Identifier is 1679965206, issued on Feb 18, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in La Mesa, CA. The record was last updated on Aug 29, 2024.