Organization
GRACE CHRISTIAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER LEE FRAZIER LPC,MCP,NCC (EXECUTIVE DIRECTOR)
(601) 636-5703
Entity
Organization
Contact information
Practice address
1414 CHERRY ST, VICKSBURG, MS 39180-3218
(601) 636-5703
(601) 636-5739
Mailing address
1414 CHERRY ST, VICKSBURG, MS 39180-3218
(601) 636-5703
(601) 636-5739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1046
MS
101YP2500X
Professional Counselor
779
MS
104100000X
Social Worker
C5390
MS
106H00000X
Marriage & Family Therapist
Primary
C5390
MS
Other
Enumeration date
06/19/2006
Last updated
09/11/2025
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