| NPI Details | |
|---|---|
| NPI | 1033504790 |
| Enumeration Date | 03/31/2015 |
| Last Updated | 03/31/2015 |
| Entity Type | Healthcare Provider |
| Active | Over 2 years ago |
| Authorized Information | |
|---|---|
| Name | JENNIFER JEAN JENNIFER |
| Position | COUNSELOR |
| Phone | (469) 828-1960 |
| Fax | |
| Practice Location | |
|---|---|
| 8330 LBJ FWY SUITE 636 DALLAS TX, 75243-1166, US |
|
| Phone | (469) 828-1960 |
| Fax | |
| Business Location | |
|---|---|
| 8330 LBJ FWY SUITE 636 DALLAS TX, 75243-1166, US |
|
| Phone | (469) 828-1960 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YP2500X |
| License State | Texas |
| License Number | 70116 |
| Remove 1033504790 NPI Number | |
According to our database, Grace Place Counseling, Pllc NPI is 1033504790, taxonomy code is 101YP2500X and license number is 70116, license state is located at Texas. Grace Place Counseling, Pllc physically located at 8330 Lbj Fwy, Dallas TX, 75243-1166. NPI Number 1033115704 has the healthcare provider type.
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1033504790 NPI number is provided on an as is basis without warranty of any kind. 1033504790 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Place Counseling, Pllc are for informational purposes only.
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