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Roland Graves JR., LMHC
Mental Health Counselor in Malta, New York
NPI 1396271441

Roland Graves JR. is a Mental Health Counselor based in Malta, NY and is specialized in Mental Health. Roland Graves JR. practices in Malta, NY and has the professional credentials of LMHC. The NPI Number for Roland Graves JR. is 1396271441 and holds a License No. (New York).

The current practice location address for Roland Graves JR. is 2691 State Route 9 Ste 204, Malta, NY and can be reached out via phone at 518-309-2192.

Location: 2691 State Route 9 Ste 204, Malta, NY, 12020-4319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396271441
Provider Name
Roland Graves JR.
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
2691 State Route 9 Ste 204, Malta, NY, 12020-4319
Phone Number
518-309-2192
Fax Number
Provider Enumeration Date
05/11/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396271441 05 NY
institution
Provider Business Practice Location Address Details
Address
2691 State Route 9 Ste 204
City
Malta
State
New York
Zip
12020-4319
Phone Number
518-309-2192
Fax Number
person
Provider Business Mailing Address Details
Address
2691 State Route 9 Ste 204
City
Malta
State
New York
Zip
12020-4319
Phone Number
518-309-2192
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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