Individual
MRS. MICHELLE RENE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
307 S 12TH AVE STE 4B, YAKIMA, WA 98902-3137
(509) 575-8457
(509) 453-1273
Mailing address
307 S 12TH AVE STE 4B, YAKIMA, WA 98902-3137
(509) 575-8457
(509) 453-1273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60234989
WA
Other
Enumeration date
09/29/2017
Last updated
07/21/2022
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