Individual
ANNIE GRACE GRATERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
1300 N 216TH ST, ELKHORN, NE 68022-1619
(402) 968-6097
Mailing address
1300 N 216TH ST, ELKHORN, NE 68022-1619
(402) 968-6097
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2353
NE
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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