PATRICK SECREST NPI 1871267534

NPI Information

NPI: 1871267534
Provider Name: PATRICK SECREST
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1885 NE 7TH ST
GRANTS PASS, OR
ZIP 97526
Phone: (541) 660-5420
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Patrick Secrest is a counselor in Grants Pass, OR. The provider is 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. Patrick Secrest NPI is 1871267534. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1885 NE 7TH ST
GRANTS PASS, OR
ZIP 97526-403
Phone: (541) 660-5420

The enumeration date for this NPI number is 8/5/2021 and was last updated on 8/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		20-03-14	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20-03-14	OTHER	OREGON	MHACBO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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