Individual provider · Type 1 NPI

Kwanda Lee Graves

Addiction (Substance Use Disorder) Counselor · Winston-Salem, NC

NPI number 1508313628 Active

Practice location

4401 Providence Lane, Suite 121
Winston-Salem, NC 27106

Fax (336) 896-1327

Mailing address

350 Teal Dr
Winston Salem, NC 27127-6812

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508313628

Kwanda Lee Graves's National Provider Identifier is 1508313628, issued on Sep 7, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winston-Salem, NC. The record was last updated on Sep 7, 2016.