Individual
MS. CINDI SUE GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PLPC
Contact information
Practice address
1401 S ELLIOTT AVE, AURORA, MO 65605-2103
(417) 671-9856
(417) 671-9881
Mailing address
818 MISTY CREEK RD, MOUNT VERNON, MO 65712-9800
(417) 366-4271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018013662
MO
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2018013662
MO
261QM0850X
Adult Mental Health Clinic/Center
2018013662
MO
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2018013662
MO
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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