Individual provider · Type 1 NPI

Gracie Ann Hargraves, ED.D, LCPC

Mental Health Counselor · Idaho Falls, ID

NPI number 1972654671 Active

Practice location

2375 E Sunnyside Rd, Suite C
Idaho Falls, ID 83404-8280

Call (208) 529-5777 Map

Fax (208) 529-5778

Mailing address

523 E. 4th S. St.
Rexburg, ID 83440

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC- 293 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1972654671

Gracie Ann Hargraves, ED.D, LCPC's National Provider Identifier is 1972654671, issued on Jan 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 8, 2007.