Individual
GLENN B GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
49 MAIN ST STE 34, CLINTON, NJ 08809-1313
(908) 318-4111
Mailing address
18 OVERLOOK RD, BLOOMSBURY, NJ 08804-3502
(908) 318-4111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00370400
NJ
Other
Enumeration date
05/14/2014
Last updated
09/09/2023
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