Individual
ALEXXIS S COOK-GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7710 WATERFORD SQUARE DR APT 1133, CHARLOTTE, NC 28226-8643
(704) 728-0797
Mailing address
1882 S NEW HOPE RD UNIT 550100, GASTONIA, NC 28055-6504
(704) 728-0797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8158
SC
101YM0800X
Mental Health Counselor
Primary
A17564
NC
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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