Individual
CHRISTINA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 FRONT ST NE, SALEM, OR 97301-1089
(503) 363-2021
Mailing address
750 FRONT ST NE, SALEM, OR 97301-1089
(503) 363-2021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2520
OR
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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