Individual
JUSTIN WAYNE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 891-9443
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 891-9131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW005842
GA
Other
Enumeration date
01/24/2018
Last updated
09/08/2025
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