Individual provider · Type 1 NPI

Courtney R. Grady

Counselor · Bridgeton, MO

NPI number 1962773986 Active

Practice location

3751 Pennridge Dr Ste 119
Bridgeton, MO 63044-1244

Fax (949) 561-4148

Mailing address

2707 Browns Ln
Jonesboro, AR 72401-7213

Other practice locations

  • 2707 Browns Ln, Jonesboro, AR 72401-7213 · (870) 972-4939

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1962773986

Courtney R. Grady's National Provider Identifier is 1962773986, issued on Jan 23, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bridgeton, MO. The record was last updated on Feb 21, 2022.