Individual
BARRY GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
1250 N WILSON AVE, LOVELAND, CO 80537-4461
(970) 494-4200
Mailing address
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525-5540
(970) 494-4200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0016243
CO
Other
Enumeration date
03/20/2019
Last updated
06/03/2019
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