Individual provider · Type 1 NPI

Kelly Marie Graham, BA, CDCA, MSCJ

Addiction (Substance Use Disorder) Counselor · Toledo, OH

NPI number 1396258232 Active

Practice location

2005 Ashland Ave
Toledo, OH 43620-1703

Fax (419) 843-6622

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1396258232

Kelly Marie Graham, BA, CDCA, MSCJ's National Provider Identifier is 1396258232, issued on Nov 14, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Toledo, OH. The record was last updated on Nov 14, 2017.