Individual
NANCY GRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
701 S ROYAL ST, DERIDDER, LA 70634-4949
(337) 463-4900
Mailing address
701 S ROYAL ST, DERIDDER, LA 70634-4949
(337) 463-4900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
70088
TX
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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