Grayson Wallen
Counselor (Professional)

Address: 4025 Camino Del Rio S # 250a, San Diego, CA 92108-4107
Phone: 6198583105

Grayson Wallen (NPI# 1962007369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1962007369
Entity Type Individual
Full Name Grayson Wallen
Credential PCC
Gender Male
Practice Address 4025 Camino Del Rio S # 250a
San Diego
CA 92108-4107
Practice Telephone 6198583105
Mailing Address 2909 Cowley Way Unit L
San Diego
CA 92117-6818
Mailing Telephone 4802348363
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-12-02
Last Update Date 2020-12-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YP2500X Counselor · Professional Behavioral Health & Social Service Providers 5227 CA

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457955387 Rene John Molenkamp Counselor 4323 Santa Monica Ave, San Diego, CA 92107-2930 2020-11-22
1720606221 Jennifer Bohan Counselor 9889 Scripps Westview Way Unit 204, San Diego, CA 92131-2426 2020-07-10
1518587906 Dong-ru Ho Counselor 13015 Evening Creek Dr S Unit 17, San Diego, CA 92128-8114 2020-04-25
1023659679 Amy Abbasov Counselor 10232 Camino Ruiz Apt 108, San Diego, CA 92126-6458 2019-10-04
1255990347 Pilar Marie Placone Counselor 3356 2nd Ave Ste A1, San Diego, CA 92103-5636 2019-06-12
1265099055 Emily Duval Counselor 4519 Idaho St Unit 6, San Diego, CA 92116-3175 2019-05-28
1194230078 Nnamdi Rashid Okafor Counselor 9606 Tierra Grande St Ste 207, San Diego, CA 92126-6501 2017-12-13
1275074379 Rachel Gabrielle Packer Counselor 5252 Balboa Ave Ste 801, San Diego, CA 92117 2017-03-09
1396100442 Sylvia Vella Counselor 1455 Frazee Rd, Suite 500, San Diego, CA 92108-4301 2015-12-16
1376985788 Lauren Stern Counselor 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101-1253 2013-07-26
Find all providers in SAN DIEGO

Office Location

Street Address 4025 CAMINO DEL RIO S # 250A
State CA
Zip Code 92108-4107

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952902801 Keri Castaneda Behavior Technician 025 Camino Del Rio South Suite 101, San Diego, CA 92108 2020-11-06
1457963738 Diyana Giorgees Case Manager/Care Coordinator 5005 Texas Street, St. 203, San Diego, CA 92108 2020-08-19
1780211896 Lori Mildred Jerman Marriage & Family Therapist Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 2020-03-26
1285260737 Demetrius Anderson Counselor Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 2020-03-17
1033742465 Dasc Medical Inc Durable Medical Equipment & Medical Supplies 5520 Gill Village Way, 907, San Diego, CA 92108 2020-02-13
1508401092 Chanda Denee Kizer Marriage & Family Therapist 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 2019-11-08
1225695562 Jenna Rose Shurer Nurse Practitioner 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 2019-05-22
1952967812 Martha Kebede Mekonen Chiropractor 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 2019-05-16
1053886135 Andrea Jiselly Munoz Behavior Technician 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 2018-10-04
1386128916 Sarah Elisabeth Smith Counselor 7575 Metropolitan Dr., San Diego, CA 92108 2018-09-19
Find all providers in zip 92108


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Zip Code 92108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.