Doctor Name: | MIGUEL GRACIANO |
NPI Number: | 1982735700 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2226 E Rio Verde Dr West Covina, CA - 917912067 |
Business Phone Number: | 6263321367 |
Business Fax Number: | |
Mailing Address: | 1507 Bridge St, LOS ANGELES |
State: | CA |
Postal Code: | 900331606 |
Phone Number: | 3238871917 |
Fax Number: | 3238871655 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 09/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |