Individual provider · Type 1 NPI
Reginald Grace Sr., LPC
Professional Counselor · St. Gabriel, LA
NPI number
1942575105
Active
Practice location
6225 Plantation Dr.
St. Gabriel, LA 70776
Fax (225) 642-5107
Mailing address
PO Box 287
St. Gabriel, LA 70776-0287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 819 (LA) |
Professional Counselor: Definition to come...
About NPI 1942575105
Reginald Grace Sr., LPC's National Provider Identifier is 1942575105, issued on Mar 20, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Gabriel, LA. The record was last updated on Mar 20, 2012.