Tina Kathleen Graham, PLPC Valid NPI
Individual provider · Mental Health Counselor · O Fallon, MO
- NPI
- 1740940840
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 2021046275 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-12-30
- Last updated
- 2021-12-30
Practice location
1001 Boardwalk Springs Pl Ste 111
O Fallon, MO 63368-4777
(636) 284-0408