IndividualActive
Mark Groubert
NPI 1124539069 · Poetry Therapist · Los Angeles, CA
Provider details
- NPI number
- 1124539069
- Entity type
- Individual
- Primary specialty
- Poetry TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 60549 (CA)
Practice location
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
Registry dates
- Enumerated
- 2017-10-18
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.