Provider Demographics
NPI:1114748720
Name:GARRON, GRACE ELIZABETH (MS)
Entity type:Individual
Prefix:MISS
First Name:GRACE
Middle Name:ELIZABETH
Last Name:GARRON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 MAINE AVE SW # E412
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3447
Mailing Address - Country:US
Mailing Address - Phone:215-539-0884
Mailing Address - Fax:
Practice Address - Street 1:950 MAINE AVE SW # E412
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3447
Practice Address - Country:US
Practice Address - Phone:215-539-0884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health