Most Relevant Information
Provider Data
| NPI Number: | 1003045956 |
| Provider Name: | STACEY L GRAHAM LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6401010374 |
Most Important Dates
| Enumeration Date: | 07/13/2009 |
| Last Updated: | 05/10/2013 |
Provider Practice Location
608 WRIGHT AVE
ALMA
MI
488011600
Practice Location Phone/Fax
| Phone: | 9894634971 |
| Fax: |
Provider Mailing Location
PO BOX 69
ALMA
MI
488010069
Provider Mailing Phone/Fax
| Phone: | 9894634971 |
| Fax: |