Individual provider · Type 1 NPI
Michael Graham Sr., LCSW
Mental Health Counselor · Waterbury, CT
NPI number
1861632507
Active
Practice location
796 Highland Avenue
Waterbury, CT 06708-4710
Fax (203) 757-0153
Mailing address
796 Highland Ave, Second Floor
Waterbury, CT 06708-4710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 006958 (CT) |
Mental Health Counselor: Definition to come...
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About NPI 1861632507
Michael Graham Sr., LCSW's National Provider Identifier is 1861632507, issued on Feb 20, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterbury, CT. The record was last updated on Apr 9, 2011.