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Individual

JENNIFER RENEE GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
145 S RIPLEY ST STE 5, ALPENA, MI 49707-3010
(903) 283-7150
Mailing address
145 S RIPLEY ST STE 5, ALPENA, MI 49707-3010
(903) 283-7150

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401018413
MI
101YM0800X
Mental Health Counselor
6401018413
MI
101YP2500X
Professional Counselor
6401018413
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225656671
MI
Enumeration date
07/13/2020
Last updated
07/30/2025
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