Individual provider · Type 1 NPI

Lance Malloy Grace, B.S. M.A.

Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK

NPI number 1114258100 Active

Practice location

4420 N Lincoln Blvd
Oklahoma City, OK 73105-5104

Call (405) 525-0452 Map

Mailing address

2416 NW 49th St
Oklahoma City, OK 73112-8323

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114258100

Lance Malloy Grace, B.S. M.A.'s National Provider Identifier is 1114258100, issued on Jan 15, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 15, 2010.