MEDICARE: GRETCHEN PLEUSS PUPIL PERSONNEL SERV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	240116388	CA

General Provider Information

NPI Number	:	1104367325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETCHEN PLEUSS PUPIL PERSONNEL SERV

Provider Business Mailing Address
First Line	:	5761 SWEETWATER PL
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-6046
Country	:	US
Telephone Number	:	808-343-8216
Fax Number	:

Provider Business Practice Location Address
First Line	:	5761 SWEETWATER PL
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-6046
Country	:	US
Telephone Number	:	808-343-8216
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2017
Last Update Date	:	12/01/2025

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