Individual
MS. LORI BIRCH GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19056 GREENBUSH RD, PARKSLEY, VA 23421
(757) 302-1327
Mailing address
17042 MICHAELS HILL RD, MELFA, VA 23410
(757) 302-1327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006724
VA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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