Individual
MRS. COURTNEY B GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 240-6414
Mailing address
1201 KAREN LN, MIDWEST CITY, OK 73110-7150
(405) 240-6414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
01/24/2019
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