Individual
BARRY WALSTER GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCASA
Contact information
Practice address
732 DAVIS AVE, WHITEVILLE, NC 28472-6002
(910) 640-1038
(910) 640-1465
Mailing address
303 DOLL ST, ELIZABETHTOWN, NC 28337-9561
(910) 879-0006
(910) 879-0012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2720A
NCSAPPB
NC
Enumeration date
08/30/2012
Last updated
04/22/2025
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