CORRISSA MADDEN-GRUBB

SAN RAFAEL, CA
NPI1255614889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-09-20
Last Update Date2013-11-15
Business Address
-- CORRISSA MADDEN-GRUBB
900 FIFTH AVENUE, SUITE 150;
SAN RAFAEL, CA 94901
Phone number: 405-202-3859
Mailing Address
-- CORRISSA MADDEN-GRUBB
900 REICHERT AVE #507
NOVATO, CA 94945
Phone number: 480-202-3859