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Stacy Bryant Graham
Counselor in Orangeburg, South Carolina
NPI 1285753608

Stacy Bryant Graham is a Counselor based in Orangeburg, SC. Stacy Bryant Graham practices in Orangeburg, SC. The NPI Number for Stacy Bryant Graham is 1285753608 and holds a License No. (South Carolina).

The current practice location address for Stacy Bryant Graham is 3310 Magnolia St, Orangeburg, SC and can be reached out via phone at 803-531-6900 and via fax at 803-531-6907. You can also correspond with Stacy Bryant Graham through the mailing address at 3310 MAGNOLIA ST., ORANGEBURG, SC - 29115 (mailing address contact number: 803-531-6900).

Location: 3310 Magnolia St, Orangeburg, SC, 29115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285753608
Provider Name
Stacy Bryant Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
3310 Magnolia St, Orangeburg, SC, 29115
Phone Number
803-531-6900
Fax Number
803-531-6907
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
376241 05 SC
institution
Provider Business Practice Location Address Details
Address
3310 Magnolia St
City
Orangeburg
State
South Carolina
Zip
29115-1466
Phone Number
803-531-6900
Fax Number
803-531-6907
person
Provider Business Mailing Address Details
Address
3310 Magnolia St.
City
Orangeburg
State
South Carolina
Zip
29115
Phone Number
803-531-6900
Fax Number
803-531-6907
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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