Organization
GRACE COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN CRUZ HUMBERTO LPC (LPC)
(479) 222-1965
Entity
Organization
Contact information
Practice address
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802-9725
(479) 222-1965
Mailing address
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802-9725
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
10/14/2025
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