Individual provider · Type 1 NPI

Grace Olivia Johnson

Mental Health Counselor · Portland, OR

NPI number 1356064901 Active

Practice location

4212 SE Division St Ste 100
Portland, OR 97206-1680

Call (503) 238-0705 Map

Fax (503) 236-7166

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

66 other providers at this address

Other mental health counselor providers in Portland

See all in Portland →

About NPI 1356064901

Grace Olivia Johnson's National Provider Identifier is 1356064901, issued on Sep 20, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 20, 2022.