Individual
GRACE JESSIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 N CENTRAL EXPY STE 208, MCKINNEY, TX 75070-3328
(469) 298-8727
Mailing address
4459 W US HIGHWAY 82, BONHAM, TX 75418-8046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10837
TX
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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