Individual
DEIANEIRA GRAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMHC
Contact information
Practice address
417 1ST AVE. S., MOUNT VERNON, IA 52314
(319) 777-1258
Mailing address
2127 KOUNTRY LN SE APT 12, IOWA CITY, IA 52240-9319
(712) 297-0613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
133517
IA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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