Individual provider · Type 1 NPI
Gerard A. Grace
Professional Counselor · San Antonio, TX
NPI number
1659564607
Active
Practice location
1602 Thousand Oaks Dr
San Antonio, TX 78232-2338
Mailing address
2127 Mountain Mist
San Antonio, TX 78258-4913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 15411 (TX) |
Professional Counselor: Definition to come...
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About NPI 1659564607
Gerard A. Grace's National Provider Identifier is 1659564607, issued on Aug 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Aug 23, 2007.