Individual
DEENA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1215 PARKWAY, AUSTIN, TX 78703-4132
(512) 653-9591
Mailing address
709 NORWALK LN, AUSTIN, TX 78703-4346
(512) 653-9591
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202529
TX
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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