Individual provider · Type 1 NPI

Johnisha Graham

Counselor · Lake Village, AR

NPI number 1053786855 Active

Practice location

1652 S Highway 65 82
Lake Village, AR 71653-1662

Mailing address

602 N Walton Blvd
Bentonville, AR 72712-4576

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1053786855

Johnisha Graham's National Provider Identifier is 1053786855, issued on Dec 4, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lake Village, AR. The record was last updated on Dec 4, 2015.