Individual provider · Type 1 NPI

John Ellington Graham Iii, MA, MSED

Professional Counselor · O Fallon, MO

NPI number 1699894766 Active

Practice location

300 Fort Zumwalt Sq, Suite 107
O Fallon, MO 63366-3078

Call (636) 980-4673 Map

Fax (636) 625-8284

Mailing address

13 Pointer Ct
Lake St. Louis, MO 63367-2017

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X001763 (MO)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1699894766

John Ellington Graham Iii, MA, MSED's National Provider Identifier is 1699894766, issued on Mar 28, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in O Fallon, MO. The record was last updated on Jul 8, 2007.