Individual provider · Type 1 NPI

Avery Grace, QMHP

Mental Health Counselor · Bend, OR

NPI number 1194268623 Active

Practice location

1058 NE 12th St
Bend, OR 97701-4412

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist 171100000X17331 (CA)
Mental Health Counselor Primary 101YM0800X22-QMHP-R-1292 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1194268623

Avery Grace, QMHP's National Provider Identifier is 1194268623, issued on Dec 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Jun 28, 2022.