Individual
KATHY FRIDAY GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
7 ELMSTEAD PL, CHAPEL HILL, NC 27517-8609
(919) 489-4957
Mailing address
7 ELMSTEAD PL, CHAPEL HILL, NC 27517-8609
(919) 489-4957
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3148
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306X
BCBSNC PROV #
NC
Enumeration date
11/15/2006
Last updated
05/08/2012
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