Individual
CHERYL LYNNE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
411 GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
(801) 359-8510
Mailing address
411 GRANT ST, PO BOX 16508, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
(801) 359-8510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7232590-6005
UT
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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