Individual provider · Type 1 NPI

Mary Graham, RS

Addiction (Substance Use Disorder) Counselor · Grass Valley, CA

NPI number 1033423124 Active

Practice location

440 Henderson St, Ste C
Grass Valley, CA 95945-7374

Call (530) 273-9541 Map

Fax (530) 273-7740

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRA6119 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033423124

Mary Graham, RS's National Provider Identifier is 1033423124, issued on Jul 30, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grass Valley, CA. The record was last updated on Jul 30, 2010.