Individual provider · Type 1 NPI

Gracee Heart

Mental Health Counselor · Portland, OR

NPI number 1194338020 Active

Practice location

17640 NE Halsey St
Portland, OR 97230-6733

Fax (503) 489-5638

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1194338020

Gracee Heart's National Provider Identifier is 1194338020, issued on Aug 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 8, 2024.