Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gray Whale Marriage and Family Therapy Prof Corp

Organization Addiction (Substance Use Disorder) Counselor · NPI 1194575019

Gray Whale Marriage and Family Therapy Prof Corp is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8426 Fireside Ave
San Diego, CA 92123-2848
Phone: (714) 337-4969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1194575019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Bruaski — President · (619) 213-2470
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 24, 2024
Mailing addressPo Box 231012, San Diego, CA 92193-1012

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