Individual
JOSEPH BENJIMAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
(360) 856-3186
Mailing address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
(360) 856-3186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
GRAHAJB051KE
WA
Other
Enumeration date
06/30/2020
Last updated
08/28/2020
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