Individual
LUCIE S GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LADC
Contact information
Practice address
336 MOUNT HOPE AVE STE 14, BANGOR, ME 04401-4236
(207) 991-3310
(207) 573-4666
Mailing address
336 MOUNT HOPE AVE STE 14, BANGOR, ME 04401-4236
(207) 991-3310
(207) 543-4666
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7968
ME
101YP2500X
Professional Counselor
Primary
CC5029
ME
Other
Enumeration date
10/02/2017
Last updated
02/08/2024
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