Individual
MR. LOWELL B. GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GAMBLING COUNSELOR
Contact information
Practice address
1610 BISHOP RD SW, SUITE 105, TUMWATER, WA 98512-7303
(360) 352-1052
(360) 352-0956
Mailing address
PO BOX 4141, TUMWATER, WA 98501-0141
(360) 352-1052
(360) 352-0956
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
RC 00054502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519
NATIONALLY CERTIFIED GAMBLING COUNSELOR
—
01
—
CP 000057468
CHEMICAL DEPENDENCY PROFESSIONAL
WA
Enumeration date
12/05/2008
Last updated
12/05/2008
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