Individual
CARLA DELORES GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MASONIC AVE, SAN FRANCISCO, CA 94118-4415
(415) 470-0665
Mailing address
100 MASONIC AVE, SAN FRANCISCO, CA 94118-4415
(415) 470-0665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
133213
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
AII0553R048
CA
101YP2500X
Professional Counselor
Primary
15592
CA
Other
Enumeration date
11/08/2011
Last updated
01/16/2024
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