Individual provider · Type 1 NPI

Michael David Gracon

Counselor · Mcminnville, OR

NPI number 1912665357 Active

Practice location

627 NE Evans St
Mcminnville, OR 97128-3923

Call (503) 434-7523 Map

Fax (503) 434-9846

Mailing address

5415 SW Westgate Dr
Portland, OR 97221-2409

Other practice locations

  • 5415 SW Westgate Dr, Portland, OR 97221-2409 · (503) 645-3581

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
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 1912665357

Michael David Gracon's National Provider Identifier is 1912665357, issued on Dec 2, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mcminnville, OR. The record was last updated on Jun 23, 2022.