Individual provider · Type 1 NPI

Grace Marie Wightman, MED

Mental Health Counselor · Bryan, TX

NPI number 1326936006 Active

Practice location

2900 E 29th St
Bryan, TX 77802-2622

Mailing address

950 Town Lake Dr Apt 7302
College Station, TX 77845-2277

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1326936006

Grace Marie Wightman, MED's National Provider Identifier is 1326936006, issued on Jun 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bryan, TX. The record was last updated on Jun 24, 2025.