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Individual
NANCY GRAIES
Active
Individual
NANCY GRAIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
94027100
CA
101YM0800X
Mental Health Counselor
IMF98519
CA
103TC0700X
Clinical Psychologist
Primary
PSY35591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7184
MEDI-CAL
CA
01
—
7368
MEDI-CAL
CA
01
—
7667
MEDI-CAL
CA
01
—
7708
MEDI-CAL
CA
Enumeration date
03/21/2017
Last updated
08/31/2026
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