KENNETH ALONZO GRAVES

PETERSBURG, VA
NPI1396561981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VA  0710102565)
Enumeration Date2024-11-27
Last Update Date2024-11-27
Business Address
KENNETH ALONZO GRAVES CSAC
2908 NIVRAM RD
PETERSBURG, VA 23805-2637
Phone number: 804-590-8295
Mailing Address
KENNETH ALONZO GRAVES CSAC
2908 NIVRAM RD
PETERSBURG, VA 23805-2637
Phone number: 804-590-8295
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