Organization
PEGGY GRADY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET A GRADY LPC, LADC (PROFESSIONAL COUNSELOR)
(405) 896-3808
Entity
Organization
Contact information
Practice address
5131 N CLASSEN BLVD, STE 208, OKLAHOMA CITY, OK 73118-5258
(405) 896-3808
(405) 242-4105
Mailing address
5131 N CLASSEN BLVD STE 208, OKLAHOMA CITY, OK 73118-5258
(405) 896-3808
(405) 242-4105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
899
OK
101YM0800X
Mental Health Counselor
4468
OK
101YP2500X
Professional Counselor
Primary
4468
OK
Other
Enumeration date
01/16/2014
Last updated
03/30/2017
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