Individual
MS. ANITA GAIL GRAVES-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACI
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE FL 3, WASHINGTON, DC 20020-7024
(202) 889-7900
Mailing address
2041 MARTIN LUTHER KING JR AVE SE FL 3, WASHINGTON, DC 20020-7024
(202) 889-7900
(202) 610-3095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACI1116
DC
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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