Individual
TANESHA NICOLE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, CMHC
Contact information
Practice address
5346 SUMMIT LODGE DR, KATY, TX 77449-7461
(832) 529-2696
Mailing address
1795 FRY RD # 459, KATY, TX 77449-3347
(832) 529-2696
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
06/14/2023
Last updated
11/19/2024
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