Provider Demographics
NPI:1033350996
Name:GRAMS, VERONICA LISSETTE (LMFT)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:LISSETTE
Last Name:GRAMS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660761
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91066-0761
Mailing Address - Country:US
Mailing Address - Phone:818-590-7169
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 660761
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91066-0761
Practice Address - Country:US
Practice Address - Phone:818-590-7169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98690106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist