Brooke Graham
Counselor, Mental Health in Mooresville, NC. Individual provider (NPI-1).
NPI number1396211892
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1396211892
- Entity type
- Individual (NPI-1)
- Name
- Brooke Graham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2018
- Certification date
- Jun 7, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | A17396 | NC | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
136 Fairview Rd Ste 125Mooresville, NC 28117-8547
Phone 704-667-7635 · Fax 980-435-0398
Mailing address
206 N Jackson St Ste 202Glendale, CA 91206-4330
Other practice locations
107 New Edition Court Carey
Raleigh, NC 28202
Raleigh, NC 28202
Phone 818-241-6780
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All 102 Mental Health Counselor providers in Mooresville · All 2,308 providers in Mooresville
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