Individual
BRYAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
501 BILLINGSLEY RD, STE B, CHARLOTTE, NC 28211-1009
(704) 444-2400
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10839
NC
101YP2500X
Professional Counselor
10839
NC
Other
Enumeration date
07/07/2014
Last updated
07/15/2024
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