DESTINI DENISE GROTHE

CERES, CA
NPI1952972358
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  124266)
Additional Taxonomies101YP2500X Counselor, Professional
104100000X Social Worker
(Licence: CA  98059)
Enumeration Date2021-07-07
Last Update Date2024-07-31
Business Address
DESTINI DENISE GROTHE LCSW
1904 RICHLAND AVE # C2
CERES, CA 95307-4562
Phone number: 510-415-2383
Mailing Address
DESTINI DENISE GROTHE LCSW
1904 RICHLAND AVE STE C2
CERES, CA 95307-4562
Phone number: 209-525-5079