Kelly Marie Graham, BA, CDCA, MSCJ
Counselor, Addiction (Substance Use Disorder) in Toledo, OH. Individual provider (NPI-1).
NPI number1396258232
StatusActive
Last updated in NPPESNov 14, 2017
Details
- NPI
- 1396258232
- Entity type
- Individual (NPI-1)
- Name
- Kelly Marie Graham
- Credential
- BA, CDCA, MSCJ
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2017
- Last updated
- Nov 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
2005 Ashland AveToledo, OH 43620-1703
Phone 419-841-7701 · Fax 419-843-6622
Mailing address
2005 Ashland AveToledo, OH 43620-1703
Phone 419-841-7701 · Fax 419-843-6622
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