Individual
MS. AMY J GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
622 DAVIS ST STE 200, EVANSTON, IL 60201-4491
(773) 294-0176
Mailing address
700 HINMAN AVE APT 2I, EVANSTON, IL 60202-2559
(847) 529-2977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.015428
IL
221700000X
Art Therapist
Primary
18-201
IL
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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