Individual provider · Type 1 NPI

Theresa Ann Graham

Professional Counselor · Gladstone, OR

NPI number 1730416348 Active

Practice location

880 82nd Dr
Gladstone, OR 97027-1803

Call (503) 659-5515 Map

Fax (503) 659-1994

Mailing address

PO Box 82819
Portland, OR 97282-0819

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2127 (OR)
Mental Health Counselor 101YM0800XLH00011236 (WA)

Professional Counselor: Definition to come...

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About NPI 1730416348

Theresa Ann Graham's National Provider Identifier is 1730416348, issued on Nov 3, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gladstone, OR. The record was last updated on Dec 29, 2010.