Search › Wisconsin › 101YP2500X
Grady Dedrick, LPC, SAC-IT, CCAT
NPI 1124686241 · on the registry since 2019 · sole proprietor
Practice
- Address
- 304 Bickford St
New Lisbon, WI 53950 - Phone
- (608) 562-3976
- Fax
- (608) 562-3975
- Organisation at this address
- Grace Counseling & Family Services S.C
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 171M00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin