Organization
GRAHAM MOORE & CLARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE WAYNE GRAHAM MS, LCAS (THERAPIST)
(919) 710-7332
Entity
Organization
Contact information
Practice address
4086 BARRETT DR, RALEIGH, NC 27609-6604
(919) 710-7332
Mailing address
PO BOX 46043, RALEIGH, NC 27620-6043
(919) 710-7332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1222
NC
Other
Enumeration date
03/18/2008
Last updated
11/02/2015
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