Individual provider · Type 1 NPI

Gloria Mae Graham, SUDCC III

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1366136202 Active

Practice location

2535 Camino Del Rio S Ste 100
San Diego, CA 92108-3754

Call (619) 558-6102 Map

Mailing address

222 W 6th St
Corona, CA 92882-3301

Other practice locations

  • 222 W 6th St, Corona, CA 92882-3301 · (888) 682-6282

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11499 (CA)

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

3 other providers at this address

Other addiction (substance use disorder) counselor providers in San Diego

See all in San Diego →

About NPI 1366136202

Gloria Mae Graham, SUDCC III's National Provider Identifier is 1366136202, issued on Jun 5, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Mar 26, 2026.