Organization
GRACE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SUMPOLEC LPC (DIRECTOR)
(540) 548-4114
Entity
Organization
Contact information
Practice address
1125 HEATHERSTONE DRIVE, SUITE 101, FREDERICKSBURG, VA 22407
(540) 548-4114
(540) 548-2541
Mailing address
1125 HEATHERSTONE DRIVE, SUITE 101, FREDERICKSBURG, VA 22407
(540) 548-4114
(540) 548-2541
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003590
VA
106H00000X
Marriage & Family Therapist
0717001031
VA
Other
Enumeration date
09/25/2006
Last updated
09/17/2008
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