Grace Christian Counseling Center

NPI 1447295654 - Counselor - 101YP2500X

NPI Details
NPI 1447295654
Enumeration Date 06/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WALTER LEE WALTER
Position EXECUTIVE DIRECTOR
Phone (601) 636-5703
Fax (601) 636-5739
Practice Location
1414 CHERRY ST
VICKSBURG MS, 39180-3218, US
Phone (601) 636-5703
Fax (601) 636-5739
Business Location
1414 CHERRY ST
VICKSBURG MS, 39180-3218, US
Phone (601) 636-5703
Fax (601) 636-5739
Toxanomy
Taxonomy Code 101YP2500X
License State Mississippi
License Number 779
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According to our database, Grace Christian Counseling Center NPI is 1447295654, taxonomy code is 101YP2500X and license number is 779, license state is located at Mississippi. Grace Christian Counseling Center physically located at 1414 Cherry St, Vicksburg MS, 39180-3218. NPI Number 1033115704 has the healthcare provider type.

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1447295654 NPI number is provided on an as is basis without warranty of any kind. 1447295654 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Christian Counseling Center are for informational purposes only.