Most Relevant Information
Provider Data
| NPI Number: | 1003066002 |
| Provider Name: | JANICE GRAHAM LMFT 51531 |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | IMF 55900 |
Most Important Dates
| Enumeration Date: | 09/25/2008 |
| Last Updated: | 12/13/2017 |
Provider Practice Location
2262 CARMEL VALLEY RD STE E
DEL MAR
CA
920143751
Practice Location Phone/Fax
| Phone: | 4152973453 |
| Fax: |
Provider Mailing Location
13962 MANGO DR
DEL MAR
CA
920143104
Provider Mailing Phone/Fax
| Phone: | 4152973453 |
| Fax: |