Individual
GRACE HE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
883 WASHINGTON ST STE B, RALEIGH, NC 27605-3251
(419) 504-8121
Mailing address
883 WASHINGTON ST STE B, RALEIGH, NC 27605-3251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19970
NC
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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