Individual
MR. JOHN ALEXANDER ERIC GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
403 4TH ST NW STE 110, BEMIDJI, MN 56601-3155
(218) 586-4057
Mailing address
485 HWY 71 N, HINES, MN 56647-5798
(218) 586-4057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301343
MN
103T00000X
Psychologist
LP2659
MN
Other
Enumeration date
02/16/2007
Last updated
09/11/2025
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