Individual provider · Type 1 NPI

Mandilyn Renice Graham, LCPC

Professional Counselor · Ypsilanti, MI

NPI number 1366951709 Active

Practice location

7770 Paint Creek Dr
Ypsilanti, MI 48197-6139

Call (773) 301-3640 Map

Mailing address

17485 Eastgate Dr
Country Club Hills, IL 60478-4640

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X6401222749 (MI)
Professional Counselor Primary 101YP2500X180.009581 (IL)

Professional Counselor: Definition to come...

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About NPI 1366951709

Mandilyn Renice Graham, LCPC's National Provider Identifier is 1366951709, issued on Sep 28, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ypsilanti, MI. The record was last updated on Feb 16, 2023.