Individual
MS. DEMYIA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
805 N BEECH ST # 2, TALLULAH, LA 71282-3809
(318) 493-5147
(318) 493-5148
Mailing address
308 MANSION ST, PORT GIBSON, MS 39150-2220
(601) 320-3765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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