Provider Demographics
NPI:1053481309
Name:GRAVES, DANA K (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:K
Last Name:GRAVES
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9211 OLYMPIC VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-2396
Mailing Address - Country:US
Mailing Address - Phone:425-359-9801
Mailing Address - Fax:425-778-5259
Practice Address - Street 1:600 MAIN ST
Practice Address - Street 2:SUITE D
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3079
Practice Address - Country:US
Practice Address - Phone:425-359-9801
Practice Address - Fax:425-778-5259
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003430101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health