Organization
GRACE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GAY BACKES LPC, P.A., M.S. (OWNER)
(320) 202-9107
Entity
Organization
Contact information
Practice address
2700 1ST ST N, #209, SAINT CLOUD, MN 56303-4256
(320) 202-9107
Mailing address
2700 1ST ST N, #209, SAINT CLOUD, MN 56303-4256
(320) 202-9107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC00366
MN
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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