Individual
STEPHANIE GRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 3RD AVE, COUNCIL BLUFFS, IA 51501-4101
(712) 352-0917
Mailing address
21432 FIELDCREST DR, ELKHORN, NE 68022-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5062
NE
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/15/2019
Last updated
02/07/2024
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