| Grace Counseling Center | |
|
1125 Heatherstone Drive Suite 101 Fredericksburg VA 22407 | |
| (540) 548-4114 | |
| (540) 548-2541 |
| Full Name | Grace Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1125 Heatherstone Drive, Fredericksburg, Virginia |
| Authorized Official Name and Position | Jeffrey Sumpolec (DIRECTOR) |
| Authorized Official Contact | 5405484114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Counseling Center 1125 Heatherstone Drive Suite 101 Fredericksburg VA 22407 Ph: (540) 548-4114 | Grace Counseling Center 1125 Heatherstone Drive Suite 101 Fredericksburg VA 22407 Ph: (540) 548-4114 |
| NPI Number | 1700986080 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700986080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701003590 (Virginia) | Primary |
| 106H00000X | Marriage & Family Therapist | 0717001031 (Virginia) | Secondary |
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