Individual provider · Type 1 NPI

Shannon L. Graham

Addiction (Substance Use Disorder) Counselor · Xenia, OH

NPI number 1073457164 Active

Practice location

215 S Allison Ave
Xenia, OH 45385-3694

Call (937) 352-6490 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X193219 (OH)

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

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About NPI 1073457164

Shannon L. Graham's National Provider Identifier is 1073457164, issued on Apr 17, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Xenia, OH. The record was last updated on Apr 17, 2026.