Grace, Michelle Christine

Grace, Michelle Christine is an individual health care provider with primary practice located at 500 Se Washington Ave , Chehalis WA 98532-3058. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Grace, Michelle Christine can be contacted via phone (509) 232-5766.

Contact Information

Primary practice address
500 Se Washington Ave Chehalis WA 98532-3058
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X NC60815104 Washington

Profile Details

NPI number 1407311269
LBN Legal business name Grace, Michelle Christine
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2019
Last updated Feb 6th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407311269 NPPES
Washington MEDICAID 2077844

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