Individual provider · Type 1 NPI
Ellen Anne Graham, LCSW
Mental Health Counselor · Upland, CA
NPI number
1427155175
Active
Practice location
1346 N Mulberry Ave
Upland, CA 91786-2739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCS13618 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1427155175
Ellen Anne Graham, LCSW's National Provider Identifier is 1427155175, issued on Sep 17, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Upland, CA. The record was last updated on Oct 5, 2021.