Individual
GRACE DANBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
601 W NIFONG BLVD STE 1B, COLUMBIA, MO 65203-6804
(573) 586-3204
(573) 646-0159
Mailing address
601 W NIFONG BLVD STE 1B, COLUMBIA, MO 65203-6804
(573) 586-3204
(573) 646-0159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024020543
MO
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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