Individual
GRACE OKUGBERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 MANTLE CT, MIDLAND, TX 79706-2915
(432) 254-8155
Mailing address
409 MANTLE CT, MIDLAND, TX 79706-2915
(432) 254-8155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
77955
TX
101YP2500X
Professional Counselor
77955
TX
Other
Enumeration date
06/22/2022
Last updated
01/15/2024
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