Individual
SHACOYA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, LCAS-A
Contact information
Practice address
2515 ANNA GARRISON RD, CHARLOTTE, NC 28206-1767
(843) 465-2486
Mailing address
9541 JULIAN CLARK AVE STE 208, HUNTERSVILLE, NC 28078-3486
(843) 465-2486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26532
NC
106H00000X
Marriage & Family Therapist
Primary
2527
NC
Other
Enumeration date
01/11/2021
Last updated
09/22/2025
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