Individual
JOEL M GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T CRPA
Contact information
Practice address
951 NIAGARA ST, BUFFALO, NY 14213-2116
(716) 842-0700
Mailing address
951 NIAGARA ST, BUFFALO, NY 14213-2116
(716) 842-0440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
175T00000X
Peer Specialist
NYCPS-P-5394
NY
Other
Enumeration date
04/21/2023
Last updated
10/02/2024
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