Individual
ANGELA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3021 RUNNING BROOK DR, JOSHUA, TX 76058-5757
(817) 480-4951
Mailing address
3021 RUNNING BROOK DR, JOSHUA, TX 76058-5757
(817) 480-4951
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16321
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
8746
TX
Other
Enumeration date
10/30/2011
Last updated
10/30/2011
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