Individual provider · Type 1 NPI

Gavin Graham

Addiction (Substance Use Disorder) Counselor · Tarzana, CA

NPI number 1396479689 Active

Practice location

18700 Oxnard St
Tarzana, CA 91356-1413

Mailing address

1042 23rd St
Santa Monica, CA 90403-4520

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1474440722 (CA)

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

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About NPI 1396479689

Gavin Graham's National Provider Identifier is 1396479689, issued on Jul 12, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tarzana, CA. The record was last updated on Jul 12, 2022.