Individual provider · Type 1 NPI

Mary Grace Portell, LPC

Professional Counselor · St. Louis, MO

NPI number 1013286996 Active

Practice location

4444 Forest Park Ave, Ste 2600
St. Louis, MO 63108-2212

Call (314) 286-1700 Map

Fax (314) 286-1777

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2008013971 (MO)

Professional Counselor: Definition to come...

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About NPI 1013286996

Mary Grace Portell, LPC's National Provider Identifier is 1013286996, issued on Dec 21, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.