Individual
MS. MELISSA MONIQUE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
806 BELL FORK RD, JACKSONVILLE, NC 28540-6312
(910) 347-2205
(910) 347-2216
Mailing address
558 DRUID ST, FAYETTEVILLE, NC 28301-0512
(910) 922-1255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23659
NC
Other
Enumeration date
01/03/2019
Last updated
01/07/2019
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