Individual provider · Type 1 NPI

Mary Gross, B.S., MSW, QMHP

Mental Health Counselor · Jasper, OR

NPI number 1265622815 Active

Practice location

37875 Jasper Lowell Rd
Jasper, OR 97438-9751

Fax (541) 747-4722

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265622815

Mary Gross, B.S., MSW, QMHP's National Provider Identifier is 1265622815, issued on Jul 30, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jasper, OR. The record was last updated on Jul 30, 2007.