Individual provider · Type 1 NPI
Amanda Leigh Graham, EDD
Addiction (Substance Use Disorder) Counselor · Pennington Gap, VA
NPI number
1336657055
Active
Practice location
1453 Big Hill Rd
Pennington Gap, VA 24277-8133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701005028 (VA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0710102168 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1336657055
Amanda Leigh Graham, EDD's National Provider Identifier is 1336657055, issued on Jan 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pennington Gap, VA. The record was last updated on Jan 16, 2018.