Individual
MR. MICHAEL GRAHAM SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
796 HIGHLAND AVENUE, WATERBURY, CT 06708-4710
(203) 757-0151
(203) 757-0153
Mailing address
796 HIGHLAND AVE, SECOND FLOOR, WATERBURY, CT 06708-4710
(203) 757-0151
(203) 757-0153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006958
CT
Other
Enumeration date
02/20/2009
Last updated
04/09/2011
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