| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GRICELDA FAUSTO | 1255118592 | 2023-09-11 |
Gricelda Fausto is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255118592. Registration indicates Gricelda Fausto is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Gricelda Fausto MSW |
| Practice Office Address | 10929 SOUTH ST STE 208B CERRITOS, CA US |
| Practice Office Telephone | 5629245526 |
| Mailing Address | 10929 SOUTH ST STE 208B CERRITOS, CA 907035391 US |
| Business Telephone | 5629245526 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 117026
CA |