Individual provider · Type 1 NPI

Laquisha Gravely

Mental Health Counselor · Fayetteville, NC

NPI number 1104402650 Active

Practice location

902 S Reilly Rd
Fayetteville, NC 28314-1825

Call (910) 491-6356 Map

Fax (910) 491-8128

Mailing address

101 E 6th Ave
Raeford, NC 28376-2233

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Mental Health Counselor Primary 101YM0800XA18128 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1104402650

Laquisha Gravely's National Provider Identifier is 1104402650, issued on Mar 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, NC. The record was last updated on Oct 11, 2022.