Individual
KENT L GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LCAS, CCS
Contact information
Practice address
2000 NEUSE BLVD, CROSSROADS, CAROLINAEAST MEDICAL CENTER, NEW BERN, NC 28560
(252) 633-8215
(252) 633-8198
Mailing address
101 IVERSON LANE, NEW BERN, NC 28562
(910) 330-6620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
743
NC
101YP2500X
Professional Counselor
4420
NC
Other
Enumeration date
06/17/2009
Last updated
08/14/2012
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