Doctor Name: | MARIE GRAVEN |
NPI Number: | 1306267232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2380A |
Business Practice Address: | 26 Tranquil Trl Swannanoa, NC - 287782331 |
Business Phone Number: | 8282738208 |
Business Fax Number: | |
Mailing Address: | 26 Tranquil Trl, SWANNANOA |
State: | NC |
Postal Code: | 287782331 |
Phone Number: | 8282738208 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2013 |
NPI Last Update Date: | 12/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2380A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |