Individual provider · Type 1 NPI
Cocise Antranette Grace, LPCC
Professional Counselor · Burbank, CA
NPI number
1114405057
Active
Practice location
191 S Buena Vista St Ste 300
Burbank, CA 91505-4556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 18562 (CA) |
| Professional Counselor | 101YP2500X | LPC010207 (GA) |
| Professional Counselor Primary | 101YP2500X | 18562 (CA) |
Professional Counselor: Definition to come...
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About NPI 1114405057
Cocise Antranette Grace, LPCC's National Provider Identifier is 1114405057, issued on Aug 2, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Burbank, CA. The record was last updated on Nov 4, 2025.