MARY GRAHAM


Address: 440 Henderson St, Ste C, Grass Valley, CA 95945-7374
Phone: 5302739541

MARY GRAHAM (NPI# 1033423124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033423124
Entity Type Individual
Full Name MARY GRAHAM
Credential RS
Practice Address 440 Henderson St
Ste C
Grass Valley
CA 95945-7374
Practice Telephone 5302739541
Practice Fax Number 5302737740
Mailing Telephone 5302739541
Mailing Fax Number 5302737740
Enumeration Date 2010-07-30
Last Update Date 2010-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
RA6119 CA Behavioral Health & Social Service Providers

Other Providers MARY GRAHAM

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1629693270 Mary Briggs Graham Speech-Language Pathologist 445 Porterfield Hwy Sw Ste B, Abingdon, VA 24210-2583 2020-06-10
1033732615 Mary Amanda Graham Counselor 510 S 35th St, Tacoma, WA 98418-6824 2020-05-18
1528617164 Mary Liz Graham Counselor 4124 Mission Trace Blvd, Tallahassee, FL 32303-1702 2019-09-06
1265835607 Mary Anna Graham Licensed Practical Nurse 92 Malden Ave, Palenville, Palenville, NY 12463-2511 2014-09-30
1437563111 Mary Graham Licensed Vocational Nurse 13417 Orourke Dr, Pflugerville, TX 78660-5682 2014-06-20
1508279282 Mary Graham Occupational Therapist 3091 Governors Lake Dr, Suite 580, Norcross, GA 30071-1143 2014-06-10
1174771422 Mary Frances Graham Physical Therapy Assistant 1901 N. 13th Street, Herrin, IL 62948 2008-08-28
1932360534 Mary Graham Social Worker 16 Acadia Shrs, Woolwich, ME 04579-4574 2008-06-17
1730112954 Mary Lynn Graham Audiologist-Hearing Aid Fitter 1316 Rock Cliff Dr, Martinsburg, WV 25401-3278 2006-07-09
1811995103 Mary Lou Graham Nurse Practitioner 14 Cedar St, New Britain, CT 06052-1302 2005-07-11

Office Location

Street Address 440 HENDERSON ST
STE C
City GRASS VALLEY
State CA
Zip Code 95945-7374

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194946582 John Thomas Madsen Counselor 440 Henderson St, Siute C, Grass Valley, CA 95945-7374 2007-05-01
1801187588 John Fogleman Counselor 440 Henderson St, Suite C, Grass Valley, CA 95945-7374 2011-04-28
1407147192 Pamela Mcbride Counselor 440 Henderson St, Suite C, Grass Valley, CA 95945-7374 2011-04-28
1386933067 Tara Mcintire Counselor 440 Henderson St, Suite C, Grass Valley, CA 95945-7374 2011-04-01
1770884983 Cynthia Santa Cruz-reed Counselor 440 Henderson St, Suite C, Grass Valley, CA 95945-7374 2010-11-04
1336459650 Priscilla Frazier Counselor 440 Henderson St, Ste C, Grass Valley, CA 95945-7374 2010-10-20
1952618795 Bonnie Roberts Counselor 440 Henderson St, Grass Valley, CA 95945-7374 2010-08-31
1053622878 Sarah Michalak Counselor 440 Henderson St, Ste C, Grass Valley, CA 95945-7374 2010-06-25
1497075568 Kenneth George Jones Counselor 440 Henderson St, Ste C, Grass Valley, CA 95945-7374 2010-06-10
1154645851 Shane Jones Counselor 440 Henderson St, Ste C, Grass Valley, CA 95945-7374 2010-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568028595 Rae Meyer Bastoni Chiropractor 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 2019-05-15
1255815221 Victoria M Goddard Counselor 900 East Main St Suite 201, Grass Valley, CA 95945 2018-09-17
1912488503 Janell Dawn Jones Pharmacist 10106 East Dr, Grass Valley, CA 95945 2018-08-22
1184114779 Evan Ariel Walters Physical Therapist 104 Magaret Lane, Grass Valley, CA 95945 2018-05-18
1295199420 Allyssa Fennelly Skowyra Chiropractor 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 2016-04-13
1326417627 Nevada County Crisis Stabilization Unit Clinic/Center 145 Glasson Way, Grass Valley, CA 95945 2015-09-17
1942607957 California Mental Health Counselor 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 2014-11-20
1740611615 Jarrett M Weiss Residential Treatment Facility, Emotionally Disturbed Children 714 W. Main Street, Grass Valley, CA 95945 2013-12-03
1669802732 Nicole Marie Sullivan Residential Treatment Facility, Emotionally Disturbed Children 714 W Main Street, Grass Valley, CA 95945 2013-11-26
1316377369 Michelene Arielle-nicole Stringer Residential Treatment Facility, Emotionally Disturbed Children 714 West Main Street, Grass Valley, CA 95945 2013-11-12
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851870554 Robert Wilson Coleman Counselor 256 Buena Vista St Ste 100, Grass Valley, CA 95945-7239 2018-08-13
1891945937 Julia Conrad Counselor 16713 Lawrence Way, Grass Valley, CA 95949-7107 2008-09-25
1114149820 Lori Haugen Counselor 303 Bennett St, Grass Valley, CA 95945-6804 2007-05-03
1316168883 Christine Findley Counselor 159 Brentwood Dr, Grass Valley, CA 95945-5703 2007-05-01
1194946582 John Thomas Madsen Counselor 440 Henderson St, Siute C, Grass Valley, CA 95945-7374 2007-05-01
1871714352 Kathy Black Counselor 440 Henderson St Ste C, Grass Valley, CA 95945-7374 2007-05-01
1487662979 James Michael Sellars Counselor 180 Sierra College Dr., Grass Valley, CA 95945 2006-08-03
1063012748 Sofia M Degruccio Counselor 159 Brentwood Dr, Grass Valley, CA 95945-5703 2020-10-30
1619576238 Hayley R Corbin Counselor 159 Brentwood Dr, Grass Valley, CA 95945-5703 2020-10-23
1205435351 Melinda O Hargraves Counselor 159 Brentwood Dr, Grass Valley, CA 95945-5703 2020-10-20
Find all providers in GRASS VALLEY

Competitor

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City GRASS VALLEY
Zip Code 95945

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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