Individual
JEFFRY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 S GARNETT RD, TULSA, OK 74128-1836
(918) 878-7877
Mailing address
5723 E 31ST ST, TULSA, OK 74135-5102
(918) 852-2423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
04/26/2023
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