| NPI | 1508595547 |
|---|---|
| Other Name | JAY GRAVES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 11813-C) |
| Additional Taxonomies | 251S00000X |
| 101YP2500X Counselor, Professional (Licence: AR 11813-C) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: AR 11813-C) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2025-01-24 |