MEDICARE: MCGRAW AND ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	4644	LA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	1399	LA

General Provider Information

NPI Number	:	1003812850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCGRAW AND ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	50 WADE ST STE 5
Second Line	:
City	:	LULING
State	:	LA
Zip	:	70070-2054
Country	:	US
Telephone Number	:	985-231-5045
Fax Number	:	985-331-0110

Provider Business Practice Location Address
First Line	:	50 WADE ST STE 5
Second Line	:
City	:	LULING
State	:	LA
Zip	:	70070-2054
Country	:	US
Telephone Number	:	985-231-5045
Fax Number	:	985-331-0110

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	DR. KATHLEEN OQUELI MCGRAW
Credential	:	PHD, MPH, LCSW, LAC
Telephone Number	:	504-459-9839

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	01/09/2019

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