Individual
MISS COURTNEY M GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2075 AQUEDUCT DR, FLORISSANT, MO 63033-2861
(678) 516-9732
Mailing address
2075 AQUEDUCT DR, FLORISSANT, MO 63033-2861
(678) 516-9732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011009849
MO
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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