Individual
ANNA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 KNIGHT ST STE 115, SHREVEPORT, LA 71105-2561
(318) 227-8390
Mailing address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8972
LA
Other
Enumeration date
06/08/2021
Last updated
09/23/2024
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