Individual
MRS. SAMANTHA L GRAHAM-DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
681 S LINCOLN DR STE 3, TROY, MO 63379-2835
(636) 528-4333
(636) 338-4203
Mailing address
124 WILD TURKEY LN, TROY, MO 63379-4339
(636) 358-6021
(636) 338-4203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2007035322
MO
101YP2500X
Professional Counselor
2007035322
MO
Other
Enumeration date
02/17/2008
Last updated
04/24/2023
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