Individual provider · Type 1 NPI
Joan Mason Graham, LCSW
Mental Health Counselor · Centerport, NY
NPI number
1215029665
Active
Practice location
34 Marys Ln
Centerport, NY 11721-1118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | PRO11593-1 (NY) |
| Professional Counselor | 101YP2500X | PRJO11593-1 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1215029665
Joan Mason Graham, LCSW's National Provider Identifier is 1215029665, issued on Sep 29, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centerport, NY. The record was last updated on Sep 11, 2025.