Provider Demographics
NPI:1174037634
Name:GRASS, KELSEY ANNE (MS, NCC)
Entity Type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:ANNE
Last Name:GRASS
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:123 MEADOWVIEW LN
Mailing Address - Street 2:
Mailing Address - City:MONT CLARE
Mailing Address - State:PA
Mailing Address - Zip Code:19453-5123
Mailing Address - Country:US
Mailing Address - Phone:610-462-3155
Mailing Address - Fax:
Practice Address - Street 1:555 2ND AVENUE
Practice Address - Street 2:BUILDING B, SUITE 200
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426
Practice Address - Country:US
Practice Address - Phone:484-302-8495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-20
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health