person
Shelly Graham, PHD
Professional Counselor in Austin, Texas
NPI 1477725695

Shelly Graham is a Professional Counselor based in Austin, TX and is specialized in Professional. Shelly Graham practices in Austin, TX and has the professional credentials of PHD. The NPI Number for Shelly Graham is 1477725695 and holds a License No. 14192 (Texas).

The current practice location address for Shelly Graham is 8307 Shoal Creek Blvd, Austin, TX and can be reached out via phone at 512-619-4966 and via fax at 512-451-0090.

Location: 8307 Shoal Creek Blvd, Austin, TX, 78757-7525
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Provider Profile Details
NPI Number
1477725695
Provider Name
Shelly Graham
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
8307 Shoal Creek Blvd, Austin, TX, 78757-7525
Phone Number
512-619-4966
Fax Number
512-451-0090
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14192 01 TX STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
8307 Shoal Creek Blvd
City
State
Zip
78757-7525
Phone Number
512-619-4966
Fax Number
512-451-0090
person
Provider Business Mailing Address Details
Address
8307 Shoal Creek Blvd
City
State
Zip
78757-7525
Phone Number
512-619-4966
Fax Number
512-451-0090
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
14192 (Texas)
Definition
Definition to come...
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