Individual provider · Type 1 NPI

Jon Grace, PSS-YS, QMHA-R

Mental Health Counselor · Bend, OR

NPI number 1043033236 Active

Practice location

20370 Poe Sholes Dr
Bend, OR 97703-7938

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X22-QMHA-R-2796 (OR)
Peer Specialist 175T00000XTHW000106413 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1043033236

Jon Grace, PSS-YS, QMHA-R's National Provider Identifier is 1043033236, issued on Nov 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Sep 8, 2026.