Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Alonzo Graves, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396561981

Kenneth Alonzo Graves, CSAC is an Addiction (Substance Use Disorder) Counselor in Petersburg, Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024

Practice location Address checks out

2908 Nivram Rd
Petersburg, VA 23805-2637
Phone: (804) 590-8295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0710102565 (VA)

Record details

NPI number1396561981
Entity typeIndividual (Type 1)
GenderMale
Credentials CSAC
Sole proprietorNo
NPI enumeratedNovember 27, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address2908 Nivram Rd, Petersburg, VA 23805-2637

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