| Doctor Name: | HERMINIA TERESA GUADIANA GRISHAM |
| NPI Number: | 1033406632 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MFT INTERN |
| License Number: | |
| Business Practice Address: | 2344 Old Sonoma Rd Bldg H Napa, CA - 945593708 |
| Business Phone Number: | 7072598167 |
| Business Fax Number: | 7072598241 |
| Mailing Address: | 1195 3rd St Ste 110, NAPA |
| State: | CA |
| Postal Code: | 945593035 |
| Phone Number: | 7072534303 |
| Fax Number: | 7072598189 |
| NPI Enumeration Date: | 07/01/2011 |
| NPI Last Update Date: | 01/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |