Individual
MR. ALONZA C GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 E SAN JACINTO AVE, PERRIS, CA 92571-2833
(951) 715-5040
Mailing address
450 E SAN JACINTO AVE, PERRIS, CA 92571-2833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
109870
CA
1041C0700X
Clinical Social Worker
Primary
109870
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/06/2020
Last updated
08/14/2023
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