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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.