Individual provider · Type 1 NPI

Jemiceo Graham, LCAS-A

Addiction (Substance Use Disorder) Counselor · Greensboro, NC

NPI number 1346630126 Active

Practice location

2706 N Church St
Greensboro, NC 27405-3657

Mailing address

3410 Healy Dr, Suite 117
Winston Salem, NC 27103-1403

Other practice locations

  • 3410 Healy Dr, Suite 117, Winston Salem, NC 27103-1403 · (336) 768-7936

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS-A 21464 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1346630126

Jemiceo Graham, LCAS-A's National Provider Identifier is 1346630126, issued on Jan 30, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greensboro, NC. The record was last updated on Jul 19, 2019.