Doctor Name: | NICHOLE D GRAVES |
NPI Number: | 1497040968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC, LADC/MH |
License Number: | 1065 |
Business Practice Address: | 321 E Main St Cushing, OK - 740232643 |
Business Phone Number: | 9182856268 |
Business Fax Number: | 9183760170 |
Mailing Address: | 3103 N Dripping Springs Road, CUSHING |
State: | OK |
Postal Code: | 74023 |
Phone Number: | 9183062015 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2011 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1065 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
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 |