Individual
JAYLYNN STAR GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP, PCMSW
Contact information
Practice address
220 W 15TH ST, KEARNEY, NE 68845-6763
(308) 236-0500
Mailing address
220 W 15TH ST, KEARNEY, NE 68845-6763
(308) 236-0500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041S0200X
School Social Worker
11608
NE
Other
Enumeration date
03/07/2019
Last updated
03/10/2021
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