Stephen Gravois, LPC
Counselor, Professional in Fort Worth, TX. Individual provider (NPI-1).
NPI number1265254148
StatusActive
Last updated in NPPESOct 30, 2024
Details
- NPI
- 1265254148
- Entity type
- Individual (NPI-1)
- Name
- Stephen Gravois
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2024
- Certification date
- Oct 30, 2024
- Last updated
- Oct 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 89717 | TX | Yes |
Practice location
451 University Dr Ste 201Fort Worth, TX 76107-2130
Phone 682-233-0443
Mailing address
451 University Dr Ste 201Fort Worth, TX 76107-2130
Phone 682-233-0443
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