DONNA MAURINE VAN PELT

GROVER BEACH, CA
NPI1922169655
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC28198)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
Mrs. DONNA MAURINE VAN PELT MS
150B S 6TH ST
GROVER BEACH, CA 93433
Phone number: 805-704-4153
Mailing Address
Mrs. DONNA MAURINE VAN PELT MS
791 PRICE ST #121
PISMO BEACH, CA 93449
Phone number: 805-704-4153