Individual provider · Type 1 NPI

Kevin Michael Grace, MSW ASW

Mental Health Counselor · Reseda, CA

NPI number 1366184129 Active

Practice location

7101 Baird Ave
Reseda, CA 91335-4150

Mailing address

3626 W Avenue 42
Los Angeles, CA 90065-4304

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X97954 (CA)
Mental Health Counselor 101YM0800XNone listed

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About NPI 1366184129

Kevin Michael Grace, MSW ASW's National Provider Identifier is 1366184129, issued on Apr 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Reseda, CA. The record was last updated on Apr 12, 2022.