Individual
GREGORY WAYNE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3418 TOWN & COUNTRY DRIVE, SAN ANGELO, TX 76903
(325) 653-4673
Mailing address
3418 TOWN AND COUNTRY DRIVE, SAN ANGELO, TX 76903
(325) 653-4673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
72436
TX
Other
Enumeration date
06/02/2022
Last updated
08/25/2022
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