person
Jp Grace, MED,LPC
Mental Health Counselor in Madison, Wisconsin
NPI 1528274628

Jp Grace is a Mental Health Counselor based in Madison, WI and is specialized in Mental Health. Jp Grace practices in Madison, WI and has the professional credentials of MED,LPC. The NPI Number for Jp Grace is 1528274628 and holds a License No. 3258-125 (Wisconsin).

The current practice location address for Jp Grace is 2095 Winnebago St, Madison, WI and can be reached out via phone at 608-578-0005 and via fax at 608-498-4588.

Location: 2095 Winnebago St, Madison, WI, 53704-5316
person
Provider Profile Details
NPI Number
1528274628
Provider Name
Jp Grace
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
2095 Winnebago St, Madison, WI, 53704-5316
Phone Number
608-578-0005
Fax Number
608-498-4588
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40947200 05 WI
3258-125 01 WI LICENSED PROF COUNSELOR
institution
Provider Business Practice Location Address Details
Address
2095 Winnebago St
City
State
Zip
53704-5316
Phone Number
608-578-0005
Fax Number
608-498-4588
person
Provider Business Mailing Address Details
Address
2095 Winnebago St
City
State
Zip
53704-5316
Phone Number
608-578-0005
Fax Number
608-498-4588
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3258-125 (Wisconsin)
Definition
Definition to come...
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