Individual
GRACE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LPC-S
Contact information
Practice address
8000 BONHOMME AVE STE 102, CLAYTON, MO 63105-3515
(314) 596-2335
Mailing address
709 WOOD MEADOW CIR, ELLISVILLE, MO 63021-5970
(314) 596-2335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180013181
IL
101YP2500X
Professional Counselor
Primary
2022042109
MO
Other
Enumeration date
12/17/2018
Last updated
12/11/2023
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