Individual
MONIQUE YVETTE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6220
(516) 872-9698
Mailing address
183 LAUREL ST, ROSLYN HEIGHTS, NY 11577-1322
(516) 669-4035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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