Individual
MS. ELIZABETH A GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCS, NCC, DCC
Contact information
Practice address
16 BERMUDA LANDING PLACE, NORTH TOPSAIL BEACH, NC 26460
(919) 609-0954
(919) 896-7537
Mailing address
7253 MANOR OAKS DRIVE, RALEIGH, NC 27615
(919) 609-0954
(919) 896-7537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4766
NC
101YM0800X
Mental Health Counselor
4766S
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102727
—
NC
Enumeration date
07/06/2006
Last updated
03/17/2017
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