Individual provider · Type 1 NPI

Amanda Jean Graham, MSBS, LCADC

Addiction (Substance Use Disorder) Counselor · Elizabethtown, KY

NPI number 1356877245 Active

Practice location

100 Diecks Dr
Elizabethtown, KY 42701-2443

Call (580) 726-2452 Map

Fax (580) 726-2483

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X291034 (KY)

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

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About NPI 1356877245

Amanda Jean Graham, MSBS, LCADC's National Provider Identifier is 1356877245, issued on May 11, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elizabethtown, KY. The record was last updated on Mar 10, 2024.