Individual
MELISSA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4526 FEDERAL AVENUE, EVERETT, WA 98213-8810
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG6076239
WA
104100000X
Social Worker
Primary
LW61543845
WA
104100000X
Social Worker
SC61221270
WA
104100000X
Social Worker
—
—
Other
Enumeration date
04/27/2017
Last updated
07/24/2024
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