Individual
ALLIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
139C E JACKSON AVE, MONTICELLO, AR 71655-4933
(870) 224-8108
(870) 224-8110
Mailing address
139C E JACKSON AVE, MONTICELLO, AR 71655-4933
(870) 224-8108
(870) 224-8110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2312013
AR
Other
Enumeration date
11/09/2023
Last updated
01/04/2024
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