Individual provider · Type 1 NPI

Grayson Wallen, LPCC

Professional Counselor · Encinitas, CA

NPI number 1962007369 Active

Practice location

169 Saxony Rd Ste 205
Encinitas, CA 92024-6780

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5227 (CA)

Professional Counselor: Definition to come...

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About NPI 1962007369

Grayson Wallen, LPCC's National Provider Identifier is 1962007369, issued on Dec 2, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Encinitas, CA. The record was last updated on Aug 17, 2022.