Provider Demographics
NPI:1801578596
Name:DE GRACIA, FRANKLIN NOLASCO (MAMFT)
Entity type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:NOLASCO
Last Name:DE GRACIA
Suffix:
Gender:M
Credentials:MAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-947 MAPALA PL
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2861
Mailing Address - Country:US
Mailing Address - Phone:808-520-0962
Mailing Address - Fax:
Practice Address - Street 1:1314 S KING ST STE 1460
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1948
Practice Address - Country:US
Practice Address - Phone:808-217-9527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor