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Johnisha Graham
Counselor in Lake Village, Arkansas
NPI 1053786855

Johnisha Graham is a Counselor based in Bentonville, AR. Johnisha Graham practices in Lake Village, AR. The NPI Number for Johnisha Graham is 1053786855 and holds a License No. (Arkansas).

The current practice location address for Johnisha Graham is 1652 S Highway 65 82, Lake Village, AR and can be reached out via phone at 479-464-1060.

Location: 1652 S Highway 65 82, Lake Village, AR, 72712-4576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053786855
Provider Name
Johnisha Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1652 S Highway 65 82, Lake Village, AR, 72712-4576
Phone Number
479-464-1060
Fax Number
Provider Enumeration Date
12/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1652 S Highway 65 82
City
Lake Village
State
Arkansas
Zip
71653-1662
Phone Number
479-464-1060
Fax Number
person
Provider Business Mailing Address Details
Address
1652 S Highway 65 82
City
Lake Village
State
Arkansas
Zip
71653-1662
Phone Number
479-464-1060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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's degree and clinical experience and supervision for licensure or certification.
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