Individual
ERICA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 BRADFORD SQ STE A, FAYETTEVILLE, GA 30215-1974
(770) 742-3876
(770) 742-3855
Mailing address
105 BRADFORD SQUARE, STE A, FAYETTEVILLE, GA 30215-1974
(770) 742-3846
(770) 742-3855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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