Individual provider · Type 1 NPI

Shontae L. Graham, CC, MSP

Counselor · Los Angeles, CA

NPI number 1780177428 Active

Practice location

4261 San Pedro Pl
Los Angeles, CA 90011-2917

Mailing address

4261 San Pedro Pl # 409
Los Angeles, CA 90011-2917

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1780177428

Shontae L. Graham, CC, MSP's National Provider Identifier is 1780177428, issued on Jun 7, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 7, 2018.