Individual provider · Type 1 NPI

Kenisha Graham

Mental Health Counselor · Bartow, FL

NPI number 1144522871 Active

Practice location

1255 Golfview Ave
Bartow, FL 33830-6736

Mailing address

PO Box 1559
Bartow, FL 33831-1559

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1144522871

Kenisha Graham's National Provider Identifier is 1144522871, issued on Dec 1, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bartow, FL. The record was last updated on Dec 1, 2010.