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Organization
KENNETH GRAVES JR LICENSE MARRIAGE AND FAMILY THERAPIST
Active
Organization
KENNETH GRAVES JR LICENSE MARRIAGE AND FAMILY THERAPIST
Active
Other names
Kenneth Graves Jr License Marriage and Family Ther
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH E GRAVES JR. MA, LMFT (OWNER/CFO)
(714) 397-2562
Entity
Organization
Contact information
Practice address
1000 QUAIL ST STE 135, NEWPORT BEACH, CA 92660-2719
(714) 397-2562
Mailing address
1000 QUAIL ST STE 135, NEWPORT BEACH, CA 92660-2719
(714) 397-2562
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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