Individual
ERICA DANIELLE-ELLIS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
262 BLUEWELL AVE, BLUEFIELD, WV 24701-7580
(918) 273-8597
Mailing address
262 BLUEWELL AVE, BLUEFIELD, WV 24701-7580
(918) 273-8597
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
572
WV
Other
Enumeration date
08/18/2020
Last updated
03/20/2023
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