Individual provider · Type 1 NPI

Fatrenna Graham

Mental Health Counselor · Southfield, MI

NPI number 1649886243 Active

Practice location

24100 Southfield Rd Ste 204
Southfield, MI 48075-2851

Call (313) 663-0136 Map

Mailing address

PO Box 15536
Detroit, MI 48215-0536

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401016270 (MI)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1649886243

Fatrenna Graham's National Provider Identifier is 1649886243, issued on Sep 18, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southfield, MI. The record was last updated on Sep 18, 2020.