Doctor Name: | MRS. CARMEN ANNE GRAGNANI |
NPI Number: | 1316109077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701004361 |
Business Practice Address: | 5931 Harbour Park Dr Midlothian, VA - 231122163 |
Business Phone Number: | 8046391136 |
Business Fax Number: | 8046395584 |
Mailing Address: | 4508 Hanover Ave, RICHMOND |
State: | VA |
Postal Code: | 232211822 |
Phone Number: | 8043550908 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2008 |
NPI Last Update Date: | 06/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0701004361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |