Doctor Name: | CHRISTINE LYNN GRAHAM |
NPI Number: | 1003950601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS 23080 |
Business Practice Address: | 100 E Wardlow Rd Long Beach, CA - 908074417 |
Business Phone Number: | 5624276818 |
Business Fax Number: | |
Mailing Address: | 212 Detroit Ave, Apartment B HUNTINGTON BEACH |
State: | CA |
Postal Code: | 926485839 |
Phone Number: | 7147135894 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 23080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |