Individual
MR. CALVIN GRAHAM SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, CAP
Contact information
Practice address
1801 NW 54TH TERRANCE #1, LAUDERHILL, FL 33313
(954) 683-2625
Mailing address
1801 NW 54TH TERRANCE #1, LAUDERHILL, FL 33313
(954) 683-2625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH21395
FL
101YP2500X
Professional Counselor
CAP0003362
FL
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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