Individual
KRISTY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRC, LPC
Contact information
Practice address
9600 SW OAK ST STE 500, TIGARD, OR 97223-6597
(503) 720-2350
Mailing address
9600 SW OAK ST STE 500, TIGARD, OR 97223-6597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C7987
OR
Other
Enumeration date
08/23/2016
Last updated
02/29/2024
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