Individual
IMAN MARYAM GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15612 E 96TH WAY UNIT 3G, COMMERCE CITY, CO 80022-9394
(720) 220-5469
Mailing address
15612 E 96TH WAY UNIT 3G, COMMERCE CITY, CO 80022-9394
(720) 220-5469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0017821
CO
Other
Enumeration date
09/02/2017
Last updated
01/27/2022
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