Provider Demographics
NPI:1538265368
Name:GRIERSON, GRETCHEN GARCIA (MFT)
Entity type:Individual
Prefix:MRS
First Name:GRETCHEN
Middle Name:GARCIA
Last Name:GRIERSON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1481 W WARM SPRINGS RD
Mailing Address - Street 2:SUITE 132
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-7633
Mailing Address - Country:US
Mailing Address - Phone:702-568-5888
Mailing Address - Fax:702-568-7554
Practice Address - Street 1:1481 W WARM SPRINGS RD
Practice Address - Street 2:SUITE 132
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-7633
Practice Address - Country:US
Practice Address - Phone:702-568-5888
Practice Address - Fax:702-568-7554
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0717106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist