Individual
TODD JAMES GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
503 S 3RD AVE APT 2, ALPENA, MI 49707-3571
(989) 255-3510
Mailing address
630 WALNUT ST, ALPENA, MI 49707-1832
(893) 566-6489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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