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Grace Park, LCPC

NPI 1710647813 · on the registry since 2021

Practice

Address
104 Brackett St
Portland, ME 04102
Phone
(480) 631-9834

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-04

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 Maine