Individual
MANILYN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1628 BREEDS HILL LOOP, COLUMBUS, GA 31907-6737
(706) 464-6805
Mailing address
1628 BREEDS HILL LOOP, COLUMBUS, GA 31907-6737
(706) 464-6805
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008002
GA
Other
Enumeration date
09/14/2009
Last updated
10/12/2016
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