CAROL GRANVILLE

ENCINO, CA
NPI1134575855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT118743)
Additional Taxonomies101YM0800X Counselor, Mental Health
106H00000X Marriage & Family Therapist
(Licence: CA  AMFT90506)
106H00000X Marriage & Family Therapist
(Licence: CA  IMF90506)
106H00000X Marriage & Family Therapist
Enumeration Date2016-05-12
Last Update Date2021-08-27
Business Address
CAROL GRANVILLE
17777 VENTURA BLVD STE 105
ENCINO, CA 91316-3738
Phone number: 424-258-5836
Mailing Address
CAROL GRANVILLE
18960 VENTURA BLVD # 474
TARZANA, CA 91356-3224
Phone number: