Individual provider · Type 1 NPI

Ethan William Hoccom

Counselor · Gresham, OR

NPI number 1710335484 Active

Practice location

1527 NE Lamesa Place 17th St
Gresham, OR 97030

Call (971) 337-4111 Map

Mailing address

1527 NE La Mesa Pl
Gresham, OR 97030-4540

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1710335484

Ethan William Hoccom's National Provider Identifier is 1710335484, issued on Jun 2, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gresham, OR. The record was last updated on Jun 2, 2016.