| NPI | 1871083691 |
|---|---|
| Doing Business As | SECOND GROWTH COUNSELING |
| Entity Type | Organization |
| Authorized Contact | KELLY CARLYN GRACE Owner 618-339-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C3909) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist (Licence: OR R4154) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2023-08-02 |