Individual provider · Type 1 NPI

Jacqueline Faye Graham

Addiction (Substance Use Disorder) Counselor · Roanoke, VA

NPI number 1902561152 Active

Practice location

3208 Hershberger Rd NW
Roanoke, VA 24017-1842

Call (540) 227-8426 Map

Mailing address

264 Rolling Hills Dr
Christiansburg, VA 24073-6034

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1902561152

Jacqueline Faye Graham's National Provider Identifier is 1902561152, issued on Nov 3, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roanoke, VA. The record was last updated on Nov 3, 2021.