Individual provider · Type 1 NPI

Frederic Masada Graves

Mental Health Counselor · Grand Island, NE

NPI number 1811777907 Active

Practice location

914 Baumann Dr
Grand Island, NE 68803-4401

Fax (308) 385-5271

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4516 (NE)
Mental Health Counselor 101YM0800X13632 (NE)
Mental Health Counselor 101YM0800X3167 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1811777907

Frederic Masada Graves's National Provider Identifier is 1811777907, issued on Oct 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Island, NE. The record was last updated on Mar 24, 2026.