| Grace Counseling | |
|
718 W Mccarty St Jefferson City MO 65101-1544 | |
| (573) 353-2201 | |
| (573) 636-5881 |
| Full Name | Grace Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 718 W Mccarty St, Jefferson City, Missouri |
| Authorized Official Name and Position | Alicia Diane Barnes (SOLE PROPRIETOR) |
| Authorized Official Contact | 5733532201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Counseling 718 W Mccarty St Jefferson City MO 65101-1544 Ph: (573) 353-2201 | Grace Counseling 718 W Mccarty St Jefferson City MO 65101-1544 Ph: (573) 353-2201 |
| NPI Number | 1376968743 |
|---|---|
| Provider Enumeration Date | 02/21/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376968743 | NPI | - | NPPES |
| 1881604676 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 004760 (Missouri) | Primary |
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