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Individual

RICHARD ANTHONY GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4716 SHOAL CREEK CT, WESLEY CHAPEL, FL 33543-6965
(813) 526-8804
Mailing address
4716 SHOAL CREEK CT, WESLEY CHAPEL, FL 33543-6965
(813) 526-8804

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor

Other

Enumeration date
06/27/2019
Last updated
07/22/2019
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