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Adney Raul Groth, LVN
Mental Health Counselor in San Jacinto, California
NPI 1710240387

Adney Raul Groth is a Mental Health Counselor based in Hemet, CA and is specialized in Mental Health. Adney Raul Groth practices in San Jacinto, CA and has the professional credentials of LVN. The NPI Number for Adney Raul Groth is 1710240387 and holds a License No. (California).

The current practice location address for Adney Raul Groth is 102 W Main St, San Jacinto, CA and can be reached out via phone at 951-663-4848.

Location: 102 W Main St, San Jacinto, CA, 92546-3868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710240387
Provider Name
Adney Raul Groth
Credential
LVN
Provider Entity Type
Individual
Gender
Male
Address
102 W Main St, San Jacinto, CA, 92546-3868
Phone Number
951-663-4848
Fax Number
Provider Enumeration Date
06/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689715591 05 CA
institution
Provider Business Practice Location Address Details
Address
102 W Main St
City
San Jacinto
State
California
Zip
92583-4121
Phone Number
951-663-4848
Fax Number
person
Provider Business Mailing Address Details
Address
102 W Main St
City
San Jacinto
State
California
Zip
92583-4121
Phone Number
951-663-4848
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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