Individual
MS. CHARLESCIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Contact information
Practice address
364 SOMERSET DR, RAEFORD, NC 28376-5437
(919) 679-2246
Mailing address
364 SOMERSET DR, RAEFORD, NC 28376-5437
(919) 679-2246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-21107
NC
1041C0700X
Clinical Social Worker
Primary
C010978
NC
1041C0700X
Clinical Social Worker
P009847
NC
Other
Enumeration date
07/20/2015
Last updated
09/11/2023
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