Individual provider · Type 1 NPI

Charita Graham

Professional Counselor · Evergreen Park, IL

NPI number 1376081554 Active

Practice location

3317 W 95th St Ste 101
Evergreen Park, IL 60805-2243

Fax (708) 529-3207

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180005629 (IL)

Professional Counselor: Definition to come...

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About NPI 1376081554

Charita Graham's National Provider Identifier is 1376081554, issued on Feb 7, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evergreen Park, IL. The record was last updated on Feb 7, 2017.