Individual
ARVELLA JINNETTE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
725 NEW GLENDALE RD, ELIZABETHTOWN, KY 42701-8373
(270) 900-0327
(270) 900-0426
Mailing address
160 W EAGLE PASS RD, ELIZABETHTOWN, KY 42701-8520
(314) 603-3290
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
241549
KY
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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