Individual
ANNA RENEA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 GORDON DR, SIOUX CITY, IA 51106-1911
(712) 318-3351
Mailing address
4820 4TH AVE APT 207, SIOUX CITY, IA 51106-3016
(712) 202-8544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
127129
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2024
Last updated
08/05/2024
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