Individual
MR. KEVIN EUGENE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCAS
Contact information
Practice address
117 CHARLES ST, LUMBERTON, NC 28358-4538
(910) 241-9108
Mailing address
117 CHARLES ST, LUMBERTON, NC 28358-4538
(910) 241-9108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2915
NC
Other
Enumeration date
12/31/2012
Last updated
04/28/2016
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