Individual
BARBARA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, MCAP, ICADC
Contact information
Practice address
1155 S CONGRESS AVE, WEST PALM BEACH, FL 33406-5114
(561) 408-9055
Mailing address
1155 S CONGRESS AVE, WEST PALM BEACH, FL 33406-5114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH13016
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH13016
FL
101YM0800X
Mental Health Counselor
MH13016
FL
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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