Heather Grandis-Ferretti

Individual provider Active NPI Mental Health Counselor · Dallas, OR

NPI 1346883071 · NPPES record last updated Jun 1, 2021

Key facts

NPI
1346883071
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
182 SW Academy St
Dallas, OR 97338-1996
Phone
(503) 623-9289
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

182 SW Academy St
Dallas, OR 97338-1996

Mailing address

4585 SW 185TH Ave
Aloha, OR 97078-1557
Phone (503) 591-9280

Other providers in Dallas, OR

All providers in Dallas, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.