Individual
CHAMELLIA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14819 E MISSION AVE, SPOKANE VALLEY, WA 99216-1960
(509) 315-9791
Mailing address
14819 E MISSION AVE, SPOKANE VALLEY, WA 99216-1960
(509) 315-9791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CG609011925
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60911925
DOH
WA
Enumeration date
11/09/2018
Last updated
11/09/2018
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