Clifford Stanley Graves in Gold River - Marriage & Family Therapist

Clifford Stanley Graves - NPI 1821200858

Clifford Stanley Graves is a Marriage & Family Therapist in Gold River, California. Clifford Stanley Graves practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Clifford Stanley Graves is 1821200858. The last update date is 2007-12-31.

Clifford Stanley Graves's current location address is 11344 Coloma Rd Ste 250, Gold River, California. You can contact this provider via phone number 9168636002. The mailing address for Clifford Stanley Graves is 11344 Coloma Rd Ste 250, Gold River, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Clifford Stanley Graves
Address 11344 Coloma Rd Ste 250, Gold River, California
Phone Number 9168636002
Fax Number
Sole Proprietor Y
Credentials DMIN.

NPI Number Detail

NPI Number 1821200858
Provider Enumeration Date 2007-05-03
Last Updated Date 2007-12-31

Provider Mailing Address Detail

Address 11344 Coloma Rd Ste 250
City Gold River
State California (CA)
Post Code 956706300
Phone Number 9168636002
Fax Number

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No 34719
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

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FAQs about Clifford Stanley Graves

What is the unique provider identifier assigned to Clifford Stanley Graves?

The Clifford Stanley Graves has been issued the NPI (National Provider Identifier) 1821200858 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Clifford Stanley Graves's facilities are geographically located?

The facilities of Clifford Stanley Graves are physically situated at the following location: 11344 Coloma Rd Ste 250, Gold River, CA, 956706300.

What is Clifford Stanley Graves's specialized field of practice, and what is the corresponding taxonomy classification code?

The Clifford Stanley Graves's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1821200858 to Clifford Stanley Graves?

The Clifford Stanley Graves received its 1821200858 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.

When was the information related to Clifford Stanley Graves most recently updated or refreshed?

The details pertaining to the Clifford Stanley Graves, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-31.

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