Individual provider · Type 1 NPI

Jacqueline Renee Graham, CSW

Mental Health Counselor · Salt Lake City, UT

NPI number 1316916059 Active

Practice location

124 S 400 E, Suite 450
Salt Lake City, UT 84111-2135

Call (801) 326-7444 Map

Fax (801) 783-5559

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2089903502 (UT)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1316916059

Jacqueline Renee Graham, CSW's National Provider Identifier is 1316916059, issued on Mar 15, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 27, 2010.