| Doctor Name: | MARY GRACE SKEANS |
| NPI Number: | 1780828574 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 1410 Royalton Road Salyersville, KY - 41465 |
| Business Phone Number: | 6063493115 |
| Business Fax Number: | 6063495412 |
| Mailing Address: | 104 S Front Ave, PRESTONSBURG |
| State: | KY |
| Postal Code: | 416531614 |
| Phone Number: | 6068868572 |
| Fax Number: | 6068864433 |
| NPI Enumeration Date: | 04/24/2009 |
| NPI Last Update Date: | 04/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |