Doctor Name: | MS. DANA K. GRAVES |
NPI Number: | 1053481309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | LH00003430 |
Business Practice Address: | 100 2nd Ave S Suite # 110 Edmonds, WA - 980208443 |
Business Phone Number: | 4253599801 |
Business Fax Number: | |
Mailing Address: | 100 2nd Ave S, Suite # 110 EDMONDS |
State: | WA |
Postal Code: | 980208443 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00003430 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |