Individual
MR. MICHAEL PATRICK JOHN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA , LPCC
Contact information
Practice address
3705 MARQUETTE AVE NE, ALBUQUERQUE, NM 87108-1031
(505) 254-3896
Mailing address
3705 MARQUETTE AVE NE, ALBUQUERQUE, NM 87108-1031
(505) 254-3896
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2235
NM
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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