Individual provider · Type 1 NPI

Tina Kathleen Graham, PLPC

Mental Health Counselor · O Fallon, MO

NPI number 1740940840 Active

Practice location

1001 Boardwalk Springs Pl Ste 111
O Fallon, MO 63368-4777

Call (636) 284-0408 Map

Mailing address

545 Turkey Call Ct
Troy, MO 63379-2556

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2021046275 (MO)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1740940840

Tina Kathleen Graham, PLPC's National Provider Identifier is 1740940840, issued on Dec 30, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in O Fallon, MO. The record was last updated on Dec 30, 2021.