Graves, Andrea L
Graves, Andrea L is an individual health care provider with primary practice located at 34800 Bob Wilson Dr Nmcsd 2East, San Diego CA 92134-1098. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Graves, Andrea L can be contacted via phone (619) 532-5559.Contact Information
Primary practice address
34800 Bob Wilson Dr Nmcsd 2East
San Diego CA 92134-1098
Phone: (619) 532-5559
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 18560 | California |
Profile Details
NPI number | 1780654327 |
---|---|
LBN Legal business name | Graves, Andrea L |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780654327 | NPPES |
California | Other | 18560 | LCSW |
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