Individual
JENNIFER LEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6999 CARROLLTON PIKE STE 2, GALAX, VA 24333-6341
(276) 238-5600
(276) 238-1772
Mailing address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1187
(276) 223-3200
(276) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009936
VA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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