| Grace Counseling & Psychotherapy Inc. | |
|
135 E 3rd Ave Ste B Escondido CA 92025-4252 | |
| (619) 381-8472 | |
| Not Available |
| Full Name | Grace Counseling & Psychotherapy Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 135 E 3rd Ave Ste B, Escondido, California |
| Authorized Official Name and Position | Monika Maria Grace (OWNER) |
| Authorized Official Contact | 6193818472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Counseling & Psychotherapy Inc. 5700 Baltimore Dr Unit 161 La Mesa CA 91942-1616 Ph: (619) 405-4980 | Grace Counseling & Psychotherapy Inc. 135 E 3rd Ave Ste B Escondido CA 92025-4252 Ph: (619) 381-8472 |
| NPI Number | 1568919983 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 0648525824 |
|---|---|
| Medicare Enrollment ID | O20180611002733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568919983 | NPI | - | NPPES |
| PSY24462 | Other | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY24462 (California) | Primary |
| Provider Name | Monika-maria Grace |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497985832 PECOS PAC ID: 7113178401 Enrollment ID: I20161012002323 |
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