MEDICARE: KATHRYN S GRABER LMHC

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	101YP2500X	Professional Counselor	MH8477	FL

General Provider Information

NPI Number	:	1184794240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN S GRABER LMHC

Provider Business Mailing Address
First Line	:	3191 BROWNING ST
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34237-7309
Country	:	US
Telephone Number	:	941-539-2296
Fax Number	:

Provider Business Practice Location Address
First Line	:	3205 SOUTHGATE CIR STE 5
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-5514
Country	:	US
Telephone Number	:	941-539-2296
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	06/03/2008

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