Organization · Type 2 NPI

Essential Grace Therapy, PLLC

Mental Health Counselor · Becker, MN

NPI number 1114526548 Active

Practice location

12390 Sherburne Ave Ste 210
Becker, MN 55308-9147

Mailing address

24910 184th St NW
Big Lake, MN 55309-9788

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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About NPI 1114526548

Essential Grace Therapy, PLLC's National Provider Identifier is 1114526548, issued on Oct 16, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Becker, MN. The record was last updated on Nov 4, 2020.