Individual provider · Type 1 NPI

Stephanie Grade

Mental Health Counselor · Council Bluffs, IA

NPI number 1700421575 Active

Practice location

803 3rd Ave
Council Bluffs, IA 51501-4101

Mailing address

21432 Fieldcrest Dr
Elkhorn, NE 68022-2020

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5062 (NE)
Mental Health Counselor 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700421575

Stephanie Grade's National Provider Identifier is 1700421575, issued on Nov 15, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Council Bluffs, IA. The record was last updated on Feb 7, 2024.