MEDICARE: MRS. KATHERINE ANNE GRAVES LMFT, LPCC

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	106H00000X	Marriage & Family Therapist	LMFT41134	CA

General Provider Information

NPI Number	:	1831671726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE ANNE GRAVES LMFT, LPCC

Provider Business Mailing Address
First Line	:	5801 SUNDALE AVE
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-2924
Country	:	US
Telephone Number	:	661-827-4529
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 QUINCY DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93306-4036
Country	:	US
Telephone Number	:	661-871-7221
Fax Number	:

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

Provider Enumeration Date	:	09/06/2018
Last Update Date	:	09/06/2018

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