Individual provider · Type 1 NPI

Judith Yadira Bracamontes, QMHA-R

Mental Health Counselor · Gresham, OR

NPI number 1073293221 Active

Practice location

620 NE 2nd St
Gresham, OR 97030-7514

Call (971) 274-3757 Map

Fax (503) 912-5740

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X23-QMHA-R-4302 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1073293221

Judith Yadira Bracamontes, QMHA-R's National Provider Identifier is 1073293221, issued on Jul 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Aug 30, 2023.