Grace Counseling Center
Counselor, Professional in Saint Cloud, MN. Organization (NPI-2).
NPI number1679806830
StatusActive
Last updated in NPPESSep 4, 2009
Details
- NPI
- 1679806830
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace Counseling Center
- Organization subpart
- No
- Enumeration date
- Sep 4, 2009
- Last updated
- Sep 4, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC00366 | MN | Yes |
Practice location
2700 1st St N#209
Saint Cloud, MN 56303-4256
Phone 320-202-9107
Mailing address
2700 1st St N#209
Saint Cloud, MN 56303-4256
Phone 320-202-9107
Authorized official
Barbara Gay Backes
Owner
3202029107
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