| Gradience | |
|
1502 Delmont Ct Apt 2 Urbana IL 61801-5071 | |
| (217) 221-0299 | |
| Not Available |
| Full Name | Gradience |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1502 Delmont Ct Apt 2, Urbana, Illinois |
| Authorized Official Name and Position | Michael Grant Scott (THERAPIST) |
| Authorized Official Contact | 2172210299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gradience 1502 Delmont Ct Apt 2 Urbana IL 61801-5071 Ph: (217) 221-0299 | Gradience 1502 Delmont Ct Apt 2 Urbana IL 61801-5071 Ph: (217) 221-0299 |
| NPI Number | 1336947993 |
|---|---|
| Provider Enumeration Date | 03/07/2025 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336947993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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