Jeffrey Scott Graves

Individual provider Active NPI Mental Health Counselor · Albany, LA

NPI 1124536826 · NPPES record last updated Jan 16, 2018

Key facts

NPI
1124536826
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
29925 Bartich St
Albany, LA 70711-3627
Phone
(985) 318-9648
NPI assigned
Jan 16, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

29925 Bartich St
Albany, LA 70711-3627

Mailing address

29925 Bartich St
Albany, LA 70711-3627
Phone (985) 318-9648

Other providers in Albany, LA

All providers in Albany, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.