| Doctor Name: | MRS. GRACE M. EATON |
| NPI Number: | 1861760415 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PC3245 |
| Business Practice Address: | 32 Main St Apt. 405 Livermore Falls, ME - 042541244 |
| Business Phone Number: | 2074915550 |
| Business Fax Number: | |
| Mailing Address: | 32 Main St, Apt. 405 LIVERMORE FALLS |
| State: | ME |
| Postal Code: | 042541244 |
| Phone Number: | 2074915550 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2011 |
| NPI Last Update Date: | 12/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC3245 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |