Individual
MARY ALEXANDRIA GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 18TH ST W, JASPER, AL 35501-5363
(205) 582-4345
Mailing address
208 BURTWOOD ACRES RD, JASPER, AL 35503-8119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC05965
AL
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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