Individual
MARY MARIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CRC, CYT-200
Contact information
Practice address
20141 WESTWIND CT, YORBA LINDA, CA 92886-6723
(312) 342-4351
Mailing address
20141 WESTWIND CT, YORBA LINDA, CA 92886-6723
(312) 342-4351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.013084
IL
Other
Enumeration date
04/10/2022
Last updated
04/11/2022
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