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Brock Grace, LPC
Professional Counselor in Winston Salem, North Carolina
NPI 1659722692

Brock Grace is a Professional Counselor based in Charlotte, NC and is specialized in Professional. Brock Grace practices in Winston Salem, NC and has the professional credentials of LPC. The NPI Number for Brock Grace is 1659722692 and holds a License No. A12061 (North Carolina).

The current practice location address for Brock Grace is 1400 Old Mill Cir Ste A, Winston Salem, NC and can be reached out via phone at 336-893-7742.

Location: 1400 Old Mill Cir Ste A, Winston Salem, NC, 28211-5630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659722692
Provider Name
Brock Grace
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1400 Old Mill Cir Ste A, Winston Salem, NC, 28211-5630
Phone Number
336-893-7742
Fax Number
Provider Enumeration Date
06/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 Old Mill Cir Ste A
City
Winston Salem
State
North Carolina
Zip
27103-2977
Phone Number
336-893-7742
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Old Mill Cir Ste A
City
Winston Salem
State
North Carolina
Zip
27103-2977
Phone Number
336-893-7742
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
A12061 (North Carolina)
Definition
Definition to come...
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