Individual
COURTNEY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
(541) 527-4347
Mailing address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
(541) 527-4347
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05591200
NJ
1041C0700X
Clinical Social Worker
Primary
L12560
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44SC0559120
—
NJ
Enumeration date
08/17/2017
Last updated
07/30/2025
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