Individual
MRS. JACQUELINE FAYE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 227-8426
Mailing address
264 ROLLING HILLS DR, CHRISTIANSBURG, VA 24073-6034
(540) 505-9026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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