Mcdonald, Grace Louise

Mcdonald, Grace Louise is an individual health care provider with primary practice located at 247 Cic Blvd , West Union OH 45693-7512. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mcdonald, Grace Louise can be contacted via phone (513) 941-4999.

Contact Information

Primary practice address
247 Cic Blvd West Union OH 45693-7512
Phone: (513) 941-4999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.166796 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCII.161498 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X QMHS.3 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.163682 Ohio

Profile Details

NPI number 1528597432
LBN Legal business name Mcdonald, Grace Louise
Credentials LCDCII
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2017
Last updated Feb 28th, 2024 - about 2 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 1528597432 NPPES
Ohio MEDICAID 0319180
Ohio Other 163682

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