Individual provider · Type 1 NPI
Dwayne A. Graham
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1528569092
Active
Practice location
73 Lenox Ave
New York, NY 10026-3007
Mailing address
81 Duelk Ave
Monroe, NY 10950-2021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1528569092
Dwayne A. Graham's National Provider Identifier is 1528569092, issued on Feb 21, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Feb 21, 2018.