Individual provider · Type 1 NPI
Charles Cortley Gravengood Jr.
Mental Health Counselor · Naples, FL
NPI number
1336084250
Active
Practice location
4998 Andros Dr
Naples, FL 34113-7420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH22145 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1336084250
Charles Cortley Gravengood Jr.'s National Provider Identifier is 1336084250, issued on Apr 20, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Naples, FL. The record was last updated on Apr 20, 2026.