Individual provider · Type 1 NPI
Kenneth Alonzo Graves, CSAC
Addiction (Substance Use Disorder) Counselor · Petersburg, VA
NPI number
1396561981
Active
Practice location
2908 Nivram Rd
Petersburg, VA 23805-2637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0710102565 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1396561981
Kenneth Alonzo Graves, CSAC's National Provider Identifier is 1396561981, issued on Nov 27, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Petersburg, VA. The record was last updated on Nov 27, 2024.