Individual
MS. VANESSA WYCHE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSN, RN, LPC
Contact information
Practice address
4451 WASHINGTON RD, STE 90 PMB 205, EVANS, GA 30809
(706) 799-7972
Mailing address
4451 WASHINGTON RD, STE 90 PMB 205, EVANS, GA 30809
(706) 799-7972
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC015606
GA
163W00000X
Registered Nurse
RN102766
GA
Other
Enumeration date
08/14/2018
Last updated
06/04/2026
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