Individual
MRS. KRISTINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5092
Mailing address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 339-5092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000708
GA
Other
Enumeration date
12/15/2006
Last updated
08/04/2011
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