Individual
JULIE ANN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
1118 OAK STREET SE, SALEM, OR 97301
(503) 585-4949
Mailing address
1118 OAK STREET SE, SALEM, OR 97301-4532
(503) 585-4949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3759
AK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122994
—
OR
Enumeration date
05/09/2014
Last updated
09/02/2018
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