Individual
CAROL JOY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC III
Contact information
Practice address
585 25 1/2 RD. SP 175, GRAND JUNCTION, CO 81505
(970) 261-8320
Mailing address
1001 WELLINGTON AVE, GRAND JUNCTION, CO 81501
(970) 208-1130
(970) 208-1132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5826
CO
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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