| Doctor Name: | ELIZABETH JO GRAHAM |
| NPI Number: | 1588738579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 0135 |
| Business Practice Address: | 5911 W 84th St Overland Park, KS - 662071633 |
| Business Phone Number: | 9133814777 |
| Business Fax Number: | 9133831452 |
| Mailing Address: | 3965 W 83rd St, Pmb 333 PRAIRIE VILLAGE |
| State: | KS |
| Postal Code: | 662085308 |
| Phone Number: | 9133814777 |
| Fax Number: | 9133831452 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 0135 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |