Individual
JOSEPH THOMAS CHARLES GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
2115 SAINT JOE BLVD, FORT WAYNE, IN 46805-3449
(260) 239-7956
(260) 638-0280
Mailing address
2115 SAINT JOE BLVD, FORT WAYNE, IN 46805-3449
(260) 239-7956
(260) 638-0280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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