| Doctor Name: | DR. KATHLEEN OQUELI MCGRAW |
| NPI Number: | 1083888317 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, MPH |
| License Number: | 1399 |
| Business Practice Address: | 50 Wade St Suite 5 Luling, LA - 700702051 |
| Business Phone Number: | 9857859300 |
| Business Fax Number: | 9857859003 |
| Mailing Address: | 50 Wade St, Suite 5 LULING |
| State: | LA |
| Postal Code: | 700702051 |
| Phone Number: | 9857859300 |
| Fax Number: | 9857859003 |
| NPI Enumeration Date: | 04/17/2008 |
| NPI Last Update Date: | 09/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1399 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |