Individual provider · Type 1 NPI

Grace De Gruccio

Professional Counselor · Santa Fe, NM

NPI number 1073284931 Active

Practice location

2055 S Pacheco St Ste 500
Santa Fe, NM 87505-3994

Mailing address

901 Rio Grande Blvd NW Ste G252
Albuquerque, NM 87104-2050

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XCTB-2026-0595 (NM)
Professional Counselor Primary 101YP2500XCTB-2026-0595 (NM)

Professional Counselor: Definition to come...

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About NPI 1073284931

Grace De Gruccio's National Provider Identifier is 1073284931, issued on Sep 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Santa Fe, NM. The record was last updated on Aug 13, 2026.