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Individual
BRYAN GRAHAM
Active
Individual
BRYAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10839
NC
101YP2500X
Professional Counselor
10839
NC
Other
Enumeration date
07/07/2014
Last updated
07/15/2024
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