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Dr. Amanda Leigh Graham, EDD
Addiction (Substance Use Disorder) Counselor in Pennington Gap, Virginia
NPI 1336657055

Amanda Leigh Graham is an Addiction (Substance Use Disorder) Counselor based in Pennington Gap, VA and is specialized in Addiction (Substance Use Disorder). Amanda Leigh Graham practices in Pennington Gap, VA and has the professional credentials of EDD. The NPI Number for Amanda Leigh Graham is 1336657055 and holds a License No. 0701005028 (Virginia).

The current practice location address for Amanda Leigh Graham is 1453 Big Hill Rd, Pennington Gap, VA and can be reached out via phone at 276-393-9771.

Location: 1453 Big Hill Rd, Pennington Gap, VA, 24277-8133
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Provider Profile Details
NPI Number
1336657055
Provider Name
Amanda Leigh Graham
Credential
EDD
Provider Entity Type
Individual
Gender
Female
Address
1453 Big Hill Rd, Pennington Gap, VA, 24277-8133
Phone Number
276-393-9771
Fax Number
Provider Enumeration Date
01/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 VA NA
institution
Provider Business Practice Location Address Details
Address
1453 Big Hill Rd
City
State
Zip
24277-8133
Phone Number
276-393-9771
Fax Number
person
Provider Business Mailing Address Details
Address
1453 Big Hill Rd
City
State
Zip
24277-8133
Phone Number
276-393-9771
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0710102168 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701005028 (Virginia)
Definition
Definition to come...
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