Individual provider · Type 1 NPI
Mary Alice Grady, PLPC
Professional Counselor · St. Louis, MO
NPI number
1265160071
Active
Practice location
6245 Pershing Ave
St. Louis, MO 63130-4802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2021026439 (MO) |
Professional Counselor: Definition to come...
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About NPI 1265160071
Mary Alice Grady, PLPC's National Provider Identifier is 1265160071, issued on Aug 10, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Aug 10, 2022.