Organization
A SPACE FOR GRACE
Active
Other names
A Space for Grace
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LYNN WINGSTER MS, LPC (LPC, OWNER)
(907) 252-8878
Entity
Organization
Contact information
Practice address
215 FIDALGO AVE STE 204A, KENAI, AK 99611-7776
(907) 252-8878
Mailing address
2560 SEINE CT, KENAI, AK 99611-8827
(907) 252-8878
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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