Individual
DALTON GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3613 WILLIAMS DR STE 304, GEORGETOWN, TX 78628-1369
(512) 400-4247
Mailing address
1518 S 33RD ST, TEMPLE, TX 76504-6773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
89591
TX
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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