GRACE PARK, LCPC
Counselor - Professional
Active
Individual
NPI: 1710647813
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | CC7280 (ME) |
Frequently Asked Questions
NPI 1710647813 is the National Provider Identifier for GRACE PARK, LCPC, a Counselor - Professional provider located in Portland, ME. This NPI was enumerated on December 30, 2021.
GRACE PARK, LCPC practices at 104 BRACKETT ST, Portland, ME 04102.
Quick Facts
- NPI
- 1710647813
- Type
- Individual
- Enumerated
- Dec 30, 2021
- Last Updated
- Nov 4, 2025
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