Individual
MR. JAMES MICHAEL GRAVES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4105 E WAX WING DR, SILOAM SPRINGS, AR 72761-5155
(479) 871-3501
Mailing address
4105 E WAX WING DR, SILOAM SPRINGS, AR 72761-5155
(479) 871-3501
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
11813-C
AR
101YP2500X
Professional Counselor
11813-C
AR
1041C0700X
Clinical Social Worker
11813-C
AR
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/06/2022
Last updated
01/24/2025
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