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Individual

MS. CHRISTINE IVY GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
650 LAUREL ST, CULPEPER, VA 22701-3910
(540) 825-5656
Mailing address
650 LAUREL ST, CULPEPER, VA 22701-3910
(540) 825-5656

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005222
VA

Other

Enumeration date
04/18/2012
Last updated
05/15/2015
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