Individual
MR. DONALD L GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
2292 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3862
(423) 479-1590
Mailing address
PO BOX 2965, CLEVELAND, TN 37320-2965
(423) 479-5672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1991
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1503308
—
TN
01
—
621094229
TRICARE
TN
Enumeration date
01/19/2007
Last updated
01/06/2010
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