Graves, Andrea L

Graves, Andrea L is an individual health care provider with primary practice located at 34800 Bob Wilson Dr Nmcsd 2East, San Diego CA 92134-1098. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Graves, Andrea L can be contacted via phone (619) 532-5559.

Contact Information

Primary practice address
34800 Bob Wilson Dr Nmcsd 2East San Diego CA 92134-1098
Phone: (619) 532-5559
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 18560 California

Profile Details

NPI number 1780654327
LBN Legal business name Graves, Andrea L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780654327 NPPES
California Other 18560 LCSW

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