| George Christopher Graveline, CADC II #A062350323 | |
|
641 Broadway St, King City, CA 93930-3231 | |
| (813) 525-8181 | |
| (831) 525-8130 |
| Full Name | George Christopher Graveline |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 641 Broadway St, King City, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376909432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A062350323 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| George Christopher Graveline, CADC II #A062350323 641 Broadway St, King City, CA 93930-3231 Ph: (813) 525-8181 | George Christopher Graveline, CADC II #A062350323 641 Broadway St, King City, CA 93930-3231 Ph: (813) 525-8181 |
Cynthia Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1180 Broadway St, King City, CA 93930 Phone: 831-386-9340 | |
Jessica Alcantar-tinajero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1180 Broadway St, King City, CA 93930 Phone: 831-386-9340 Fax: 831-386-9375 | |
Amber Umbarger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 637 Broadway St, King City, CA 93930 Phone: 831-525-8181 | |
Lucy Jeronimo, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 641 Broadway St, King City, CA 93930 Phone: 831-525-8101 | |
Paula Verenice Cornejo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 637 Broadway St, King City, CA 93930 Phone: 831-525-8181 | |
Jose Luis Romero Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 641 Broadway St, King City, CA 93930 Phone: 831-525-8181 | |
Joanna Jazmin Cornejo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 641 Broadway St, King City, CA 93930 Phone: 831-525-8101 |