Individual
BRANDON LEWIS-GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS
Contact information
Practice address
3201 KNIGHT ST APT 2206, SHREVEPORT, LA 71105-2749
(318) 422-4209
Mailing address
3201 KNIGHT ST APT 2206, SHREVEPORT, LA 71105-2749
(318) 422-4209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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