John Ellington Graham, MA, MSED Valid NPI

Individual provider · Professional Counselor · O Fallon, MO

NPI

1699894766

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

001763 (MO)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-28

Last updated

2007-07-08