Individual provider · Type 1 NPI
Sandra Decoursey Graham, MS, LPC
Professional Counselor · Phoenix, AZ
NPI number
1790050284
Active
Practice location
4545 N 36th St Ste 102
Phoenix, AZ 85018-3473
Mailing address
PO Box 20045
Wickenburg, AZ 85358-5045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-13806 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1790050284
Sandra Decoursey Graham, MS, LPC's National Provider Identifier is 1790050284, issued on Mar 15, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 15, 2012.