MEDICARE: MIKAELA GRAHAM MCOUN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1083546055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIKAELA GRAHAM MCOUN

Provider Business Mailing Address
First Line	:	2155 NE 6TH ST APT 97
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-3874
Country	:	US
Telephone Number	:	541-797-9320
Fax Number	:

Provider Business Practice Location Address
First Line	:	2214 NE DIVISION ST STE 101
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-3551
Country	:	US
Telephone Number	:	541-241-3109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ MIKAELA GRAHAM MCOUN” Practice Location

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