Individual
DR. GERALD S GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF PSYCHOLOGY
Contact information
Practice address
170 MARINA POINT RD, DADEVILLE, AL 36853-5761
(334) 559-3875
Mailing address
170 MARINA POINT RD, DADEVILLE, AL 36853-5761
(334) 559-3875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC05033
AL
Other
Enumeration date
10/13/2023
Last updated
01/10/2025
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