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Individual

MICHELLE LEE GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1280 W 47TH AVE, DENVER, CO 80211-2317
(303) 478-0768
Mailing address
4641 PIERCE ST, WHEAT RIDGE, CO 80033-3511
(303) 478-0768

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC.0011775
CO
101YM0800X
Mental Health Counselor
LPC.0011775
CO

Other

Enumeration date
05/14/2013
Last updated
02/19/2020
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