Individual
LATONYA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
124 RIDGEWAY DR STE 102, FAYETTEVILLE, NC 28311-0214
(910) 644-0413
Mailing address
PO BOX 8201, FAYETTEVILLE, NC 28311-9010
(910) 644-0413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7362
NC
Other
Enumeration date
12/03/2009
Last updated
02/04/2010
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