Individual provider · Type 1 NPI

Raphael E. Graham Sr.

Addiction (Substance Use Disorder) Counselor · San Fernando, CA

NPI number 1992598015 Active

Practice location

762 Griswold Ave
San Fernando, CA 91340-2105

Mailing address

13187 Bromont Ave
Sylmar, CA 91342-4310

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1588251124 (CA)

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

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About NPI 1992598015

Raphael E. Graham Sr.'s National Provider Identifier is 1992598015, issued on May 22, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Fernando, CA. The record was last updated on May 22, 2025.