Individual
JUSTICE ASHANTI GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
112 N CENTRAL AVE STE M43, PHOENIX, AZ 85004-2309
(888) 500-2067
(617) 649-8520
Mailing address
700 MASSACHUSETTS AVE FL 3, CAMBRIDGE, MA 02139-3345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
23003
AZ
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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