Individual
CARITA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15365 HIGHWAY 80 STE B, MINDEN, LA 71055-6367
(318) 517-7541
Mailing address
15365 HIGHWAY 80 STE B, MINDEN, LA 71055-6367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
05/24/2019
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