Individual provider · Type 1 NPI

Grace Sample

Professional Counselor · East Sandwich, MA

NPI number 1730779497 Active

Practice location

24 Quiet St
East Sandwich, MA 02537-1083

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1029801 (MA)

Professional Counselor: Definition to come...

About NPI 1730779497

Grace Sample's National Provider Identifier is 1730779497, issued on Jan 26, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in East Sandwich, MA. The record was last updated on Jan 26, 2021.