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General NPI Number Information
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NPI Number | 1235694035
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Entity Type | Individual
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Provider Name | KENISHA D. GRAVES M.A., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 5222 CYPRESS CREEK PKWY STE 222E
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City | HOUSTON
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State | TX
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Zip | 77069-4427
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Country | US
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Telephone | 832-989-8042
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Fax | 888-717-7079
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Provider Business Mailing Address
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Address Line | 7250 W GREENS RD APT 108
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City | HOUSTON
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State | TX
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Zip | 77064-1123
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Country | US
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Telephone | 832-989-8042
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Fax | 888-717-7079
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 75666
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License Number State | TX
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