Individual provider · Type 1 NPI

Stacey Grijalva Bankston

Marriage & Family Therapist · Brentwood, CA

NPI number 1730557604 Active

Practice location

160 Guthrie Ln Ste 3B
Brentwood, CA 94513-4060

Mailing address

3130 Balfour Rd Ste D-112
Brentwood, CA 94513-5515

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X124082 (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 1730557604

Stacey Grijalva Bankston's National Provider Identifier is 1730557604, issued on Sep 9, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Brentwood, CA. The record was last updated on Feb 2, 2021.