Individual provider · Type 1 NPI

Elise Graves, MA RADT1

Addiction (Substance Use Disorder) Counselor · Mission Viejo, CA

NPI number 1629511704 Active

Practice location

27281 Las Ramblas Ste 140
Mission Viejo, CA 92691

Fax (949) 540-0173

Other practice locations

  • 1660 Chicago Ave Ste M11, Riverside, CA 92507-2033 · (951) 823-0540

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1629511704

Elise Graves, MA RADT1's National Provider Identifier is 1629511704, issued on Nov 22, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mission Viejo, CA. The record was last updated on Nov 27, 2018.