Individual
SYREETA JANAE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-AD
Contact information
Practice address
6401 YORK RD, 3RD FLOOR, BALTIMORE, MD 21212-2152
(410) 887-3828
Mailing address
6401 YORK RD, 3RD FLOOR, BALTIMORE, MD 21212-2152
(410) 887-3828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0786
MD
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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