Individual
CHARLES W GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
165 SCOTT AVE, MORGANTOWN, WV 26508-8847
(304) 292-1716
Mailing address
165 SCOTT AVE, MORGANTOWN, WV 26508-8847
(304) 292-1716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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