Individual
CHRIS GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
849 E FAIRVIEW AVE, MERIDIAN, ID 83642-1806
(208) 860-9868
Mailing address
849 E FAIRVIEW AVE, MERIDIAN, ID 83642-1806
(208) 860-9868
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4976
ID
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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