| Doctor Name: | MRS. ROBERTA JEANNE GRADEL |
| NPI Number: | 1750341723 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 9712 |
| Business Practice Address: | 1305 S Key Ave Lampasas, TX - 765503580 |
| Business Phone Number: | 5125566962 |
| Business Fax Number: | 5125564060 |
| Mailing Address: | 2310 Deer Trl, LAMPASAS |
| State: | TX |
| Postal Code: | 765501509 |
| Phone Number: | 5125568677 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 9712 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |