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General NPI Number Information
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NPI Number | 1447131784
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Entity Type | Individual
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Provider Name | MELISSA BETH GRAVER AMFT, APCC
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Gender | Female
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 225 N MICHIGAN AVE STE 1430
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City | CHICAGO
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State | IL
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Zip | 60601-7653
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Country | US
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Telephone | 312-766-6780
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 E COLORADO BLVD UNIT 3314
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City | PASADENA
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State | CA
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Zip | 91106-1932
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Country | US
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Telephone | 818-305-4549
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 149711
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License Number State | CA
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