Individual
AMY JOHANNA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 BORDEAUX ST, CHADRON, NE 69337-2617
(308) 327-2026
Mailing address
910 BORDEAUX STREET, CHADRON, NE 69337-2617
(308) 856-9707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12717
NE
101YM0800X
Mental Health Counselor
Primary
3637
NE
Other
Enumeration date
08/09/2021
Last updated
01/23/2025
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