Organization · Type 2 NPI

Peggy Grady PLLC

Professional Counselor · Oklahoma City, OK

NPI number 1417379017 Active

Practice location

5131 N Classen Blvd, Ste 208
Oklahoma City, OK 73118-5258

Fax (405) 242-4105

Mailing address

5131 N Classen Blvd Ste 208
Oklahoma City, OK 73118-5258

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X899 (OK)
Mental Health Counselor 101YM0800X4468 (OK)
Professional Counselor Primary 101YP2500X4468 (OK)

Professional Counselor: Definition to come...

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About NPI 1417379017

Peggy Grady PLLC's National Provider Identifier is 1417379017, issued on Jan 16, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 30, 2017.