Individual
KIERA E GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 694-7200
Mailing address
3445 GREEN RD, BEACHWOOD, OH 44122-7708
(216) 315-3592
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1902382
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023574035
—
OH
Enumeration date
02/14/2019
Last updated
01/24/2020
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