Individual
TODD GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCAII
Contact information
Practice address
6161 BUSCH BLVD STE 200, COLUMBUS, OH 43229-2564
(614) 468-1222
(614) 468-1225
Mailing address
1058 ROUSSEAU LN, GALLOWAY, OH 43119-8817
(614) 285-1505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.186295
OH
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/11/2023
Last updated
04/12/2024
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