Organization
DANIEL GRACE COUNSELING AND SUPERVISION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RAY GRACE LPC (OWNER/PRACTIONER)
(870) 926-6280
Entity
Organization
Contact information
Practice address
1219 COMMERCE DR STE 3, MOUNTAIN HOME, AR 72653-2604
(870) 926-6280
Mailing address
1645 COUNTY ROAD 625, MOUNTAIN HOME, AR 72653-6185
(870) 926-6280
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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