NPI 1124539069

Mark Groubert

Practitioner Poetry Therapist Los Angeles, CA

Practice location

Address: 5675 W Olympic Blvd, Los Angeles, CA 90036-4712
Phone: (323) 965-1365
Mailing address: 2107 N Vermont Ave APT 3, Los Angeles, CA 90027-1930

Registered specialties

Poetry Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 102X00000X Licence 60549 (CA)

Other Poetry Therapist providers in California →

Registry record

NPI: 1124539069
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2017
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.