Individual
MS. JENNIFER L GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC TEMP.
Contact information
Practice address
12819 SE 38TH ST, #13, BELLEVUE, WA 98006-1326
(505) 250-2946
Mailing address
12819 SE 38TH ST, #13, BELLEVUE, WA 98006-1326
(505) 250-2946
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-0140741
NM
Other
Enumeration date
06/20/2011
Last updated
11/04/2016
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