Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor |
NPI | 1184872798 |
---|---|
Provider Name | Clare H Dennis-Gregory |
First Address | Greenbrae, CA 94904-1752 |
Second Address | Greenbrae, CA 94904-1752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 08/09/2008 |