Individual
THERESA GRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 231-9873
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2657
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240930A
—
KS
Enumeration date
02/12/2015
Last updated
05/16/2025
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