Provider Demographics
NPI:1922586171
Name:DO, GRACIA HOANG (MS, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:GRACIA
Middle Name:HOANG
Last Name:DO
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 COLLEGE VIEW RD E
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-8201
Mailing Address - Country:US
Mailing Address - Phone:507-206-5757
Mailing Address - Fax:507-529-0270
Practice Address - Street 1:1926 COLLEGE VIEW RD E
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-8201
Practice Address - Country:US
Practice Address - Phone:507-206-5757
Practice Address - Fax:507-529-0270
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01467101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNCC01467OtherSTATE OF MN