Individual provider · Type 1 NPI
Marilyn Graham
Mental Health Counselor · San Jose, CA
NPI number
1124671524
Active
Practice location
160 E Virginia St Ste 100
San Jose, CA 95112-5865
Fax (408) 579-6131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MSC-52619 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1124671524
Marilyn Graham's National Provider Identifier is 1124671524, issued on Jul 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Jul 24, 2019.