Individual
SHAWN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1255 N OAKLAND BLVD, WATERFORD, MI 48327-1545
(248) 406-0090
Mailing address
820 EDENBOUGH CIR APT 103, AUBURN HILLS, MI 48326-4547
(248) 464-2500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401007096
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401007096
MI
101YM0800X
Mental Health Counselor
Primary
6401007096
MI
Other
Enumeration date
05/24/2016
Last updated
03/23/2026
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