person
Laurieg Lee Grogg III
Mental Health Counselor in Lakeport, California
NPI 1912045758

Laurieg Lee Grogg III is a Mental Health Counselor based in Clearlake Oaks, CA and is specialized in Mental Health. Laurieg Lee Grogg III practices in Lakeport, CA. The NPI Number for Laurieg Lee Grogg III is 1912045758 and holds a License No. (California).

The current practice location address for Laurieg Lee Grogg III is 991 Parallel Dr, Lakeport, CA and can be reached out via phone at 707-994-7090 and via fax at 707-994-7096. You can also correspond with Laurieg Lee Grogg III through the mailing address at 3008 WOLF CREEK RD, CLEARLAKE OAKS, CA - 95423-9565 (mailing address contact number: 707-998-1925).

Location: 991 Parallel Dr, Lakeport, CA, 95423-9565
person
Provider Profile Details
NPI Number
1912045758
Provider Name
Laurieg Lee Grogg III
Credential
Provider Entity Type
Individual
Gender
Female
Address
991 Parallel Dr, Lakeport, CA, 95423-9565
Phone Number
707-994-7090
Fax Number
707-994-7096
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
991 Parallel Dr
City
State
Zip
95453
Phone Number
707-994-7090
Fax Number
707-994-7096
person
Provider Business Mailing Address Details
Address
991 Parallel Dr
City
State
Zip
95453
Phone Number
707-994-7090
Fax Number
707-994-7096
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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